WATERVIEW DENTAL GROUP, LLC (NPI# 1881078327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881078327 |
| Entity Type | Organization |
| Organization Name | WATERVIEW DENTAL GROUP, LLC |
| Practice Address |
553 Portland Cobalt Rd Portland CT 06480-1968 |
| Practice Telephone | 8603424141 |
| Practice Fax Number | 8603421284 |
| Mailing Telephone | 8603424141 |
| Mailing Fax Number | 8603421284 |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |
| Authorized Official Name | SUEYOUNG CHI (OWNER/PARTNER) |
| Authorized Official Telephone | 8603424141 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
10439 | CT | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | WATERVIEW DENTAL GROUP, LLC | 553 Portland Cobalt Road, Portland, CT 06480 |
| Street Address |
553 PORTLAND COBALT RD |
| City | PORTLAND |
| State | CT |
| Zip Code | 06480-1968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437104387 | Affirmation Counseling Center Inc | Marriage & Family Therapist | 553 Portland Cobalt Rd, Portland, CT 06480-1968 | 2006-05-22 |
| 1821446717 | Diana Abate Schneider, LLC | Marriage & Family Therapist | 553 Portland Cobalt Rd, Portland, CT 06480-1968 | 2016-06-01 |
| 1659677862 | Michael Andrew Sortito | Dentist | 553 Portland Cobalt Rd, Portland, CT 06480-1968 | 2011-02-04 |
| 1720390701 | Kent Huynh | Dentist | 553 Portland Cobalt Rd, Portland, CT 06480-1968 | 2010-07-07 |
| 1477793412 | Khushi, LLC | Dentist | 553 Portland Cobalt Rd, Portland, CT 06480-1968 | 2009-03-04 |
| 1336339779 | Vipul Anant Patel | Dentist | 553 Portland Cobalt Rd, Portland, CT 06480-1968 | 2007-08-01 |
| 1437215811 | Michele Binezewski | Counselor | 553 Portland Cobalt Rd, Portland, CT 06480-1968 | 2006-12-29 |
| 1861433492 | Robert R. Malafronte | Social Worker | 553 Portland Cobalt Rd, Portland, CT 06480-1968 | 2006-06-08 |
| 1508804352 | Donna S. Grisham | Counselor | 553 Portland Cobalt Rd, Portland, CT 06480-1968 | 2006-06-03 |
| 1245286582 | Laura D. Jakabauski | Counselor | 553 Portland Cobalt Rd, Portland, CT 06480-1968 | 2006-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295184638 | Alyssa Rose Unikewicz | Specialist/Technologist | 5 Allison Drive, Portland, CT 06480 | 2016-06-07 |
| 1124168224 | Portland Board of Education | Local Education Agency (LEA) | Portland High School, 95 High Street, Portland, CT 06480 | 2007-02-07 |
| 1699700831 | Stephen P Paschall | Counselor | 44 Marlborough Turnpike, Path, Portland, CT 06480 | 2006-07-12 |
| 1346600368 | Thalody Family Dentistry LLC | Dentist | 260 Main St, Portland, CT 06480 | 2016-03-03 |
| 1669782975 | Ann L Sinko | Marriage & Family Therapist | 264 Main St, Portland, CT 06480 | 2010-10-20 |
| 1013023878 | Richard Brian Morse | Dentist | 322 Main St, Portland, CT 06480 | 2006-08-22 |
| 1811344500 | Karen Pickel | Pharmacist | 35 Wilcox Ln, Portland, CT 06480-1002 | 2016-05-23 |
| 1770520652 | Deborah B. Heilman | Physical Therapist | 25 Wilcox Ln, Portland, CT 06480-1002 | 2006-06-01 |
| 1184644015 | Applied Physical Therapy & Wellness, LLC | Clinic/Center | 25 Wilcox Ln, Portland, CT 06480-1002 | 2006-07-21 |
| 1952964686 | Shane Norman Cardinal | Specialist/Technologist | 521 Glastonbury Tpke, Portland, CT 06480-1003 | 2019-04-18 |
| Find all providers in zip 06480 | ||||
| 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 |
|---|---|---|---|---|
| 1760097034 | Hannah Glazunov | Dentist | 4970 S Landing Dr Unit 302, Portland, OR 97239-5900 | 2020-09-13 |
| 1093345159 | Ashley Bennett Dds, LLC | Dentist | 5415 Sw Westgate Dr Ste 202, Portland, OR 97221-2429 | 2020-01-17 |
| 1841844354 | Carly K Christoferson | Dentist | 1616 Sw Sunset Blvd Ste A, Portland, OR 97239-2641 | 2019-08-01 |
| 1083279384 | Timber Dental Downtown LLC | Dentist | 310 Sw 4th Ave Ste 100, Portland, OR 97204-2345 | 2019-05-02 |
| 1780140715 | Timber Dental East Burnside | Dentist | 1200 Se Sandy Blvd, Portland, OR 97214-1347 | 2019-02-14 |
| 1548726581 | Timber Dental Bethany | Dentist | 15715 Nw Central Dr Ste 7-8, Portland, OR 97229-1267 | 2019-02-14 |
| 1124583208 | Portland Dental LLC | Dentist | 511 Sw 10th Ave Ste 1206, Portland, OR 97205-2713 | 2019-02-04 |
| 1245701465 | Jeffrey Levitt Brady | Dentist | 10060 E Burnside St, Portland, OR 97216-2334 | 2018-12-16 |
| 1780166918 | Daniel Alejandro Mesa | Dentist | 2038 Lloyd Ctr # H317, Portland, OR 97232-1309 | 2018-09-04 |
| 1093293375 | Trusha B Patel | Dentist | 3801 N Interstate Ave, Portland, OR 97227-1109 | 2018-07-30 |
| Find all providers in PORTLAND | ||||
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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.