CHATHAM DENTAL HEALTH, LLC (NPI# 1912141003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912141003 |
| Entity Type | Organization |
| Organization Name | CHATHAM DENTAL HEALTH, LLC |
| Practice Address |
720 Main St Chatham MA 02633-1825 |
| Practice Telephone | 5089450207 |
| Practice Fax Number | 5089457541 |
| Mailing Telephone | 5089450207 |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2009-04-21 |
| Authorized Official Name | DR. AMELIA GRABE LANE (SOLE MEMBER) |
| Authorized Official Telephone | 5089450207 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 21491 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9796576 | 05 | |
| MA | NPI | 1245441286 | 01 |
| Street Address |
720 MAIN ST |
| City | CHATHAM |
| State | MA |
| Zip Code | 02633-1825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053780619 | Jessica Lynn D Acosta | Social Worker | 2 Lobster Ln., Apt C, Chatham, MA 02633 | 2015-09-24 |
| 1982873444 | Roxanne Cumming | Internal Medicine | 214a S Orleans Rd, Chatham, MA 02633 | 2008-02-28 |
| 1851436562 | Susan Frances Thibadeau | Psychologist | 100 Sea View Street, The May Center, Chatham, MA 02633 | 2007-02-20 |
| 1245373620 | Garland S Alcock | Psychiatry & Neurology | 17a The Marketplace, Chatham, MA 02633 | 2007-02-15 |
| 1275640724 | Robert Thomas Montbach | Dentist | 720 Main Street, Chatham, MA 02633 | 2006-08-23 |
| 1922335868 | Kristin Whitfield | Acupuncturist | 46 Crowell Road, Chatham, MA 02633 | 2009-11-13 |
| 1225138621 | Mitchell S. Tishler | Chiropractor | 60 Munson Meeting Way, Chatham, MA 02633 | 2006-09-25 |
| 1841324720 | David Renke | Physician Assistant | 57 Diane Dr, Chatham, MA 02633-1007 | 2007-03-15 |
| 1891030821 | Mariela Emma Horsfall | Counselor | 91 Chatham Crest Dr, Chatham, MA 02633-1054 | 2012-12-03 |
| 1558445452 | Andrew A Mcclennen | Chiropractor | 46 Crowell Road, Chatham, MA 02633-1184 | 2006-10-25 |
| Find all providers in zip 02633 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669668562 | Samuel Zeichner | Dentist | 36 Woodlawn Dr, Chatham, NJ 07928-1176 | 2007-09-25 |
| 1285776690 | Colin H Heeps | Dentist | 1 Houseman Avenue, Chatham, NY 12037 | 2007-02-13 |
| 1114018744 | William Howard Randolph | Dentist | 6 South Main St, Chatham, VA 24531 | 2006-09-27 |
| 1760866560 | Matthew Alan Crystal | Dentist | 140 Main St, Chatham, NJ 07928-2418 | 2015-07-13 |
| 1669810131 | Mina M Saif | Dentist | 576 Main St, Chatham, NJ 07928-2148 | 2013-06-06 |
| 1255651899 | Paul Wayne Miller | Dentist | 6 S Main St, Chatham, VA 24531-5436 | 2010-06-05 |
| 1033350533 | Suzanne Padovano | Dentist | 286 Main St, Chatham, NJ 07928-2427 | 2009-03-12 |
| 1033382189 | Nicholas E Liakas | Dentist | 576 Main St, Chatham, NJ 07928-2119 | 2008-04-09 |
| 1396953840 | Jacqueline Susan Reid | Dentist | 390 Main St, Chatham, NJ 07928-2112 | 2007-05-18 |
| 1841402443 | Marybeth H Buniak | Dentist | 300 Main St, Chatham, NJ 07928-2413 | 2007-05-04 |
| Find all providers in CHATHAM | ||||
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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.