JERALYN R. FANTARELLA, DMD, P.C. (NPI# 1891970166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891970166 |
| Entity Type | Organization |
| Organization Name | JERALYN R. FANTARELLA, DMD, P.C. |
| Practice Address |
299 Washington Ave Hamden CT 06518-3026 |
| Practice Telephone | 2032884855 |
| Practice Fax Number | 2032889812 |
| Mailing Telephone | 2032884855 |
| Mailing Fax Number | 2032889812 |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |
| Authorized Official Name | DR. JERALYN R FANTARELLA (OWNER) |
| Authorized Official Telephone | 2032884855 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7613 | CT | Dental Providers |
| Street Address |
299 WASHINGTON AVE |
| City | HAMDEN |
| State | CT |
| Zip Code | 06518-3026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215913272 | Richard Barry Halperin | Pediatrics | 299 Washington Ave, Hamden, CT 06518-3026 | 2005-12-21 |
| 1316341829 | Christina Noel Notarino | Physician Assistant | 299 Washington Ave, Hamden, CT 06518-3039 | 2014-10-13 |
| 1265853113 | Maureen Wasik | Dietitian, Registered | 299 Washington Ave, Suite 18s, Hamden, CT 06518-3026 | 2013-12-19 |
| 1487880217 | Jennifer R Searles | Registered Nurse | 299 Washington Ave, Hamden, CT 06518-3026 | 2009-06-08 |
| 1275776528 | Johnny Lu | Pediatrics | 299 Washington Ave, Hamden, CT 06518-3026 | 2009-04-16 |
| 1508021809 | Laleh Ardeshirpour | Pediatrics | 299 Washington Ave, Hamden, CT 06518-3026 | 2008-07-25 |
| 1568662492 | Kristen S Wallis | Pediatrics | 299 Washington Ave, Hamden, CT 06518-3026 | 2007-07-19 |
| 1477755924 | Jeralyn R Fantarella | Dentist | 299 Washington Ave, Hamden, CT 06518-3026 | 2007-06-05 |
| 1467533828 | Sharon Egan Kuhn | Pediatrics | 299 Washington Ave, Hamden, CT 06518-3026 | 2006-10-18 |
| 1790796647 | Michael Corjulo | Nurse Practitioner | 299 Washington Ave, Hamden, CT 06518-3026 | 2006-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871082032 | Lynne Severance | Registered Nurse | 121 Highland Ave, Hamden, CT 06518 | 2018-05-03 |
| 1912446782 | Associates In Medical & Cosmetic Dermatology, PC | Dermatology | 9 Washington Avenue, Hamden, CT 06518 | 2017-02-14 |
| 1700338738 | The Lasik Vision Institute LLC | Clinic/Center | 2313 Whitney Avenue, Suite 1b, Hamden, CT 06518 | 2016-10-25 |
| 1639441934 | Michael Tonkyu Kim | Dentist | 2880 Old Dixwell Ave., Hamden, CT 06518 | 2012-02-01 |
| 1174751598 | Yetsa Adebodunde Tuakli-wosornu | Physical Medicine & Rehabilitation | 2080 Whitney Ave Ste 280, Hamden, CT 06518 | 2009-06-24 |
| 1619112133 | Priority Healthcare, LLC | Home Health | 12213 Town Walk Drive, Hamden, CT 06518 | 2008-12-12 |
| 1306095864 | Uttampal Singh | Dentist | 2832 Whitney Avenue- Advanced Orthodontics LLC, Suite- A, Hamden, CT 06518 | 2008-09-09 |
| 1790942100 | Wellcare of Connecticut, Inc. | Health Maintenance Organization | 2319 Whitney Avenue, 6th Floor, Hamden, CT 06518 | 2008-05-22 |
| 1720295165 | Susan Norkus | Specialist/Technologist | 275 Mt. Carmel Ave., Quinnipiac University, Hamden, CT 06518 | 2007-05-16 |
| 1447385620 | Fritz & Hawley Vision Center | Technician/Technologist | 2313 Whitney Ave, Suite 1d, Hamden, CT 06518 | 2007-02-21 |
| Find all providers in zip 06518 | ||||
| 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 |
|---|---|---|---|---|
| 1265837082 | Bright Days Dental LLC | Dentist | 1194 Dixwell Ave, Hamden, CT 06514-4732 | 2014-10-23 |
| 1477998086 | Hamden Dental Care | Dentist | 953 Dixwell Ave, Building C First Floor, Hamden, CT 06514-4951 | 2013-05-09 |
| 1780971770 | Regina Zekaj | Dentist | 203 Dixwell Ave Ste H4, Hamden, CT 06514 | 2011-06-29 |
| 1932338696 | Renate Birmingham | Dentist | 1220 Whitney Ave Ste C7, Hamden, CT 06517-8200 | 2009-07-02 |
| 1275748238 | Lisbeth C Steen | Dentist | 3129 Whitney Ave, Hamden, CT 06518-2364 | 2007-05-13 |
| 1932312709 | Howard Scott Charney | Dentist | 2559 Dixwell Avenue, Hamden, CT 06514 | 2007-05-08 |
| 1417170739 | Robert T Golia | Dentist | 2319 Whitney Ave, Hamden Center Suite 1-c, Hamden, CT 06518-3509 | 2007-04-11 |
| 1598881450 | Aaron M Gross | Dentist | 1240 Whitney Ave, Hamden, CT 06517-2813 | 2007-03-22 |
| 1346389392 | Robert N. Reynolds,d.d.s.,p.c. | Dentist | 2330 Whitney Ave, Hamden, CT 06518-3513 | 2007-02-06 |
| 1346386729 | Stephen T. Stanley | Dentist | 3308 Whitney Ave, Hamden, CT 06518-1967 | 2007-01-30 |
| Find all providers in HAMDEN | ||||
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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.