DR. BRUCE ELIOT KOMAROW (NPI# 1932311453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932311453 |
| Entity Type | Individual |
| Full Name | DR. BRUCE ELIOT KOMAROW |
| Credential | DMD |
| Practice Address |
40 Dale Road Avon CT 06001 |
| Practice Telephone | 8606772171 |
| Practice Fax Number | 8606772427 |
| Mailing Telephone | 8606772171 |
| Mailing Fax Number | 8606772427 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 6508 | CT | Dental Providers |
| Street Address |
40 DALE ROAD |
| City | AVON |
| State | CT |
| Zip Code | 06001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205913340 | Wendy F Habelow | Psychologist | 40 Dale Road, Suite 201, Avon, CT 06001 | 2006-11-01 |
| 1962831545 | Meagan A Leduc | Psychologist | 40 Dale Road, Suite 201, Avon, CT 06001 | 2013-11-05 |
| 1881922326 | Jill D Shalan | Psychologist | 40 Dale Road, Suite 201, Avon, CT 06001 | 2009-11-20 |
| 1801065131 | Vicki J Strnatka Knapp | Psychologist | 40 Dale Road, Suite 201, Avon, CT 06001 | 2008-02-20 |
| 1669669982 | Dartmouth Endocrinology LLC | Internal Medicine | 40 Dale Road, Suite 202, Avon, CT 06001 | 2007-10-01 |
| 1699979542 | Elizabeth Ruel Matern | Pediatrics | 40 Dale Road, Suite 201, Avon, CT 06001 | 2007-06-13 |
| 1649321258 | Ryan D. Hartmann | Psychologist | 40 Dale Road, Suite 201, Avon, CT 06001 | 2007-01-12 |
| 1073670881 | Kimberlee J. Werrett | Social Worker | 40 Dale Road, Suite 201, Avon, CT 06001 | 2007-01-02 |
| 1780761726 | Heather Quinlan | Social Worker | 40 Dale Road, Suite 201, Avon, CT 06001 | 2006-11-01 |
| 1013094176 | Elizabeth S Thayer | Psychologist | 40 Dale Road, Suite 201, Avon, CT 06001 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285247338 | Alledran Med LLC | Durable Medical Equipment & Medical Supplies | 47 Avonwood Road, Unit #218, Avon, CT 06001 | 2020-08-28 |
| 1265053391 | 001care Inc | In Home Supportive Care | 20 Tower Lane, Avon, CT 06001 | 2020-04-29 |
| 1649813783 | Peoplesdental, P.C. | Dentist | 20 W Avon Rd Ste 104, Avon, CT 06001 | 2019-10-22 |
| 1740822063 | I E Consulting, LLC | Home Health | 1-5 East Main Street, Avon, CT 06001 | 2019-10-09 |
| 1598324261 | Prima Labs, LLC | Orthopaedic Surgery | Dr. Alexandra 58, Kezmarok, SLOVAKIA 06001 | 2019-06-06 |
| 1194220996 | Theresa L. Hixson | Social Worker | 152 Simsbury Rd., Building 9, Avon, CT 06001 | 2018-03-26 |
| 1851809974 | Kathleen Ann Subasic | Occupational Therapist | 19 Stockbridge Dr, Avon, CT 06001 | 2018-01-11 |
| 1801254297 | Vanessa Brodie | Psychologist | 395 W Avon Rd Ste 1, Avon, CT 06001 | 2016-02-01 |
| 1346614468 | Bryan Lilley | Physical Therapist | 34 Dale Rd., 202, Avon, CT 06001 | 2015-12-01 |
| 1073947446 | Rahel K. Saroff Counseling Services LLC | Counselor | 7 Towpath Lane, Avon, CT 06001 | 2013-08-21 |
| Find all providers in zip 06001 | ||||
| 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 |
|---|---|---|---|---|
| 1497354310 | Smileez | Dentist | 1 Darling Dr, Avon, CT 06001-4277 | 2020-10-21 |
| 1467076182 | Melina Bjornson | Dentist | 50 Buck Creek Rd #305, Avon, CO 81620 | 2020-05-29 |
| 1669005229 | Nicholas Brassard | Dentist | 8244 E Us Highway 36 Ste 1330, Avon, IN 46123-9688 | 2020-02-21 |
| 1649813783 | Peoplesdental, P.C. | Dentist | 20 W Avon Rd Ste 104, Avon, CT 06001 | 2019-10-22 |
| 1023503109 | Ashley Elizabeth Bensen | Dentist | 7800 E Us Highway 36, Avon, IN 46123-7156 | 2018-06-29 |
| 1609369495 | Kyle Joseph Radin | Dentist | 36855 American Way Ste 2a, Avon, OH 44011-4055 | 2018-06-07 |
| 1659824423 | Bethany Zembiec-wheeler | Dentist | 520 Dream Valley Blvd, Avon, NY 14414-1472 | 2016-07-28 |
| 1508245036 | Juan Esteban Velez | Dentist | 5055 E Us Highway 36 Ste 101, Avon, IN 46123-6533 | 2015-05-29 |
| 1881084432 | Sharlene Marty | Dentist | 36388 Detroit Road, Avon, OH 44011-1588 | 2015-02-03 |
| 1992133052 | Vail Valley LLC | Dentist | 0101 Fawcett Rd, Unit 170, Avon, CO 81620 | 2013-10-28 |
| Find all providers in AVON | ||||
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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.