UNIVERSITY DENTISTS (NPI# 1922029768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922029768 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY DENTISTS |
| Other Organization Name | UNIVERSITY DENTISTS-SCHOOL OF DENTAL MEDICINE |
| Practice Address |
263 Farmington Ave Mc2105 Farmington CT 06030-0001 |
| Mailing Address |
263 Farmington Ave Attn: Ellie Atkins Farmington CT 06030-0001 |
| Practice Telephone | 8606792464 |
| Practice Fax Number | 8606797507 |
| Mailing Telephone | 8606792207 |
| Mailing Fax Number | 8606791899 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2017-08-02 |
| Authorized Official Name | DR. STEVEN M LEPOWSKY (ASSOCIATE DEAN FOR CLINICAL AFFAIRS) |
| Authorized Official Telephone | 8606794885 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
0330 | CT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004010807 | 05 |
| Other Name | Type Code |
|---|---|
| University Dentists-School of Dental Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881183721 | University Dentists | Dentist | 263 Farmington Ave, Farmington, CT 06030-0001 | 2018-05-07 |
| 1427031293 | University Dentists | Clinical Medical Laboratory | 263 Farmington Ave, Oral Pathology Laboratory, Farmington, CT 06030-0001 | 2005-11-25 |
| Street Address |
263 FARMINGTON AVE MC2105 |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879519 | Michael Joseph Giordano | Neurological Surgery | 263 Farmington Ave, Farmington, CT 06030-0001 | 2005-05-24 |
| 1891394995 | Ewa Jaszczolt | Nurse Practitioner | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-10-20 |
| 1295333458 | Brianne Catherine Bischoff | Nurse Practitioner | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-10-10 |
| 1023622073 | Michael John Arciszewski | Perfusionist | 263 Farmington Ave, Farmington, CT 06030-0002 | 2020-09-06 |
| 1073126199 | Esha Bhatt | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06032-1956 | 2020-08-28 |
| 1689286932 | Margaret Darin | Physician Assistant | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-08-18 |
| 1174133656 | Rosa Raquel Huivin | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-08-09 |
| 1336758051 | Sahar Zamani | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06030-0002 | 2020-07-28 |
| 1083222954 | Gabriela Maria Parra | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-07-16 |
| 1780292680 | Bastian Andres Rojas Espinoza | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821617606 | David Wozny | Student in an Organized Health Care Education/Training Program | General Medicine Clinic, Outpatient Pavillion-2 East, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-13 |
| 1508495185 | Zachary Boivin | Student in an Organized Health Care Education/Training Program | Emergency Medicine Office, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-06 |
| 1063903730 | Agura Afiari | Student in an Organized Health Care Education/Training Program | Uconn School of Medicine, 263 Farmington Avenue, Farmington, CT 06030 | 2018-05-29 |
| 1750879474 | Areeba Siddiqui | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue Mc1921, Farmington, CT 06030 | 2018-04-27 |
| 1508362013 | Arya Saniee I | Student in an Organized Health Care Education/Training Program | 264 Farmington Ave, Farmington, CT 06030 | 2018-04-03 |
| 1679828594 | Randall Morera | Student in an Organized Health Care Education/Training Program | 262 Farmington Ave, Farmington, CT 06030 | 2012-07-17 |
| 1750644365 | Ugonna Ijeoma | Student in an Organized Health Care Education/Training Program | 260 Farmington Ave, Farmington, CT 06030 | 2012-06-19 |
| 1407018419 | Julia Marie Toto | Plastic Surgery | University Physicians, 263 Farmington Avenue, Farmington, CT 06030 | 2008-06-30 |
| 1851456495 | Jeffrey Gross | Anesthesiology | 263 Farmington Avenue, Mc-2015, John Dempsey Hospital, Farmington, CT 06030 | 2006-12-26 |
| 1649225269 | Julian Nieves | Internal Medicine | 263 Famrington Avenue, Farmington, CT 06030 | 2006-05-23 |
| Find all providers in zip 06030 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689159147 | Station Park Dental LLC | Clinic/Center | 1060 W Park Ln Ste 110, Farmington, UT 84025-2992 | 2018-10-01 |
| 1285887448 | Timothy M. O'bryan Dds, LLC | Clinic/Center | 12 E Harrison St, Farmington, MO 63640-1859 | 2008-10-30 |
| 1053923656 | Family Dentistry of Farmington | Clinic/Center | 24001 Orchard Lake Rd Ste 160, Farmington, MI 48336-2553 | 2020-08-17 |
| 1619514718 | Farmington Dental Pllc | Clinic/Center | 200 Mountain Rd, Farmington, CT 06032-2479 | 2019-12-08 |
| 1619446077 | Cordell Lake, D.d.s., LLC | Clinic/Center | 12 E Harrison St, Farmington, MO 63640-1859 | 2018-11-15 |
| 1598193088 | Derek Graff Dmd Ltd | Clinic/Center | 3180 N Butler Ave, Bldg 200, Farmington, NM 87401-2334 | 2013-10-22 |
| 1417200932 | Compassion Dental 06032 | Clinic/Center | 222 Main St, #251, Farmington, CT 06032-3623 | 2012-10-22 |
| 1962760462 | Pdg, P.a. | Clinic/Center | 511 Elm St, Farmington, MN 55024-1126 | 2012-05-03 |
| 1679740013 | San Juan College | Clinic/Center | 4601 College Blvd, Dental Clinic, Farmington, NM 87402-4609 | 2008-05-14 |
| 1295937977 | Westmount Dental Arts | Clinic/Center | 1273 Doctors Dr, Farmington, MO 63640-2947 | 2007-06-04 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 06030 |
Please comment or provide details below to improve the information on UNIVERSITY DENTISTS.
| 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.