NEW HAVEN DENTAL GROUP (NPI# 1861841652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861841652 |
Entity Type | Organization |
Organization Name | NEW HAVEN DENTAL GROUP |
Practice Address |
615 Professional Park Dr New Haven IN 46774-1850 |
Practice Telephone | 2604932113 |
Mailing Telephone | 2604932113 |
Enumeration Date | 2016-06-13 |
Last Update Date | 2016-06-13 |
Authorized Official Name | AMANDA RUTHERFORD (OFFICE MANAGER) |
Authorized Official Telephone | 2604328596 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174663579 | New Haven Dental Group | Dentist | 3 Research Dr, Woodbridge, CT 06525-2348 | 2007-02-07 |
1205976123 | New Haven Dental Group | Dentist | 195 Montowese St, Branford, CT 06405-3824 | 2007-02-08 |
1629118559 | New Haven Dental Group | Dentist | 295 Washington Ave, Hamden, CT 06518-3025 | 2007-02-08 |
1609916089 | New Haven Dental Group | Dentist | 123 York St, Suite 4l, New Haven, CT 06511-5614 | 2007-02-07 |
Street Address |
615 PROFESSIONAL PARK DR |
City | NEW HAVEN |
State | IN |
Zip Code | 46774-1850 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407138837 | Robert P Ellison | Dentist | 615 Professional Park Dr, New Haven, IN 46774-1850 | 2011-09-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235659236 | Tyann Nicole Sanchez | Doula | 16018 Platter Road, New Haven, IN 46774 | 2017-06-21 |
1073673430 | Benjamin Craig Swinehart | Physical Therapist | 10876 Isabelle Dr., New Haven, IN 46774 | 2006-12-08 |
1912930223 | Adams County Memorial Hospital | Skilled Nursing Facility | 1201 Daly Dr, New Haven, IN 46774 | 2006-07-09 |
1922520410 | Claressa Sue Brekke | Physical Therapist | 1316 Minnich Rd, New Haven, IN 46774 | 2017-07-17 |
1750558706 | Kristen Zurbuch Ms Ccc-slp | Speech-Language Pathologist | 3117 Pawnee Ct, New Haven, IN 46774 | 2008-05-09 |
1548442197 | Brackmann & Hockemeyer Optometry Inc | Optometrist | 1010 Boulder Ridge Trl, New Haven, IN 46774-0010 | 2007-12-05 |
1023349255 | Elzabeth K Hartup | Specialist | 8805 Edwardsberg Pl, New Haven, IN 46774-1079 | 2010-01-28 |
1417365958 | Jeremy Oyer | Physical Therapy Assistant | 8805 Edwardsberg Pl, New Haven, IN 46774-1079 | 2014-07-29 |
1467728204 | Jeremy Duane Stewart | Physical Therapy Assistant | 156 Sturm St, New Haven, IN 46774-1141 | 2012-03-27 |
1215313911 | Theresa Schortgen | Health Educator | 146 N Rufus St, New Haven, IN 46774-1162 | 2015-08-04 |
Find all providers in zip 46774 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962952606 | Lodestar Dental LLC | Dentist | 474 Foxon Blvd, New Haven, CT 06513-2329 | 2016-10-05 |
1487019121 | L&m Family Dentistry LLC | Dentist | 136 Sherman Ave Ste 104, New Haven, CT 06511-5210 | 2015-12-23 |
1457767931 | Chapel Street Dental P.C. | Dentist | 806 Chapel St, New Haven, CT 06510-3104 | 2014-07-07 |
1982034658 | Fair Haven Dental LLC | Dentist | 214 Grand Ave, New Haven, CT 06513-3721 | 2013-11-17 |
1104187673 | Dr.dental of New Haven, PC | Dentist | 122 Amity Road, New Haven, CT 06515 | 2012-05-31 |
1427320407 | Karine Calixte | Dentist | 1 Long Wharf Dr Fl 4, New Haven, CT 06511 | 2012-02-06 |
1235425133 | Christopher Matthew Kinslow | Dentist | 262 Grand Ave, New Haven, CT 06513-3723 | 2011-06-20 |
1174853956 | Smartdental LLC | Dentist | 1045 Whalley Ave, New Haven, CT 06515-1787 | 2009-12-30 |
1356586234 | Regina A Niekrash | Dentist | 65 Anderson St, New Haven, CT 06511-2537 | 2008-12-08 |
1548472970 | Monica Alvyra Slack-haynes | Dentist | 7 Kimberly Ave, New Haven, CT 06519-2411 | 2007-05-06 |
Find all providers in NEW HAVEN |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.