DENTAL ASSOCIATE GROUP LLC (NPI# 1932404548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932404548 |
Entity Type | Organization |
Organization Name | DENTAL ASSOCIATE GROUP LLC |
Practice Address |
4154 Madison Ave 2nd Floor Trumbull CT 06611-3563 |
Practice Telephone | 2033740000 |
Practice Fax Number | 2033740002 |
Mailing Telephone | 2033740000 |
Mailing Fax Number | 2033740002 |
Enumeration Date | 2011-01-13 |
Last Update Date | 2011-01-13 |
Authorized Official Name | DR. SHEIKH M ILYAS (OWNER) |
Authorized Official Telephone | 2033740000 |
Authorized Official Credential | D.D.S |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
009413 | CT | Dental Providers |
Street Address |
4154 MADISON AVE 2ND FLOOR |
City | TRUMBULL |
State | CT |
Zip Code | 06611-3563 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831102862 | Joseph A. Mortati | Specialist | 4154 Madison Ave, Trumbull, CT 06611-3563 | 2006-08-14 |
1871986604 | Carly Smith | Physical Therapist | 4154 Madison Ave, Trumbull, CT 06611-3563 | 2015-03-18 |
1558774646 | Zoe Hickson | Naturopath | 4154 Madison Ave, Trumbull, CT 06611-3563 | 2014-06-05 |
1730423468 | Primed, LLC | Podiatrist | 4154 Madison Ave, Trumbull, CT 06611-3563 | 2012-11-19 |
1225355621 | Samuelle Easton | Acupuncturist | 4154 Madison Ave, Neccam, Trumbull, CT 06611-3563 | 2010-04-23 |
1992990196 | Foot Specialists of Trumbull LLC | Podiatrist | 4154 Madison Ave, Trumbull, CT 06611-3563 | 2007-09-11 |
1649476730 | Aftercare Physical Therapy Services | Specialist | 4154 Madison Ave, Trumbull, CT 06611-3563 | 2007-06-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073153326 | Justin Elijah Brantley | Physical Therapist | 888 White Plains Road Suite 209, Trumbull, CT 06611 | 2020-01-14 |
1184135733 | Stephen Graham | Speech-Language Pathologist | 126 Monroe Turnpike Suite #210, Trumbull, CT 06611 | 2017-10-22 |
1891214458 | Rachel Lopes | Social Worker | 132 Monroe Turnpike, 3rd Floor Suite 1, Trumbull, CT 06611 | 2017-09-14 |
1588193981 | James Geisler | Counselor | 23 Wilmot Ave., Trumbull, CT 06611 | 2017-06-08 |
1215463807 | Rodrigo Fernandez | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Avenue., Bridgeport Hospital Womens Health Care Center., Bridgeport, CT 06611 | 2017-05-03 |
1285087650 | Trumbull Pharmacy LLC | Pharmacy | 10 Broadway Road, Bldg B, Unit B, Trumbull, CT 06611 | 2016-07-20 |
1063897601 | Camilla Marie Schnaitmann | Social Worker | 132 Monroe Turnpike, Trumbull, CT 06611 | 2015-07-24 |
1194107318 | Alison R Kudish | Dentist | 160 Hawley Ln Ste 101, Trumbull, CT 06611 | 2015-06-24 |
1639456783 | Sagar Makanji | Pharmacist | 5065 Main Street, Ste Target, Target Pharmacy, Store 2361, Trumbull, CT 06611 | 2011-11-03 |
1639485956 | Beata Everett | Social Worker | 42 Craig Lane, Trumbull, CT 06611 | 2010-08-24 |
Find all providers in zip 06611 |
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 |
---|---|---|---|---|
1477112449 | Ling L'huillier | Dentist | 115 Technology Dr Unit C203, Trumbull, CT 06611-6347 | 2019-06-12 |
1588135164 | Trumbull Dental Arts Pllc | Dentist | 160 Hawley Ln # 101, Trumbull, CT 06611-5300 | 2018-12-08 |
1497997043 | Jigar S. Gandhi | Dentist | 2 Corporate Drive, Suite 101, Trumbull, CT 06611 | 2009-03-28 |
1700931839 | Joseph Ralph Boccuzzi | Dentist | 6016 Main St, Trumbull, CT 06611-2434 | 2007-01-25 |
1013028851 | Robert Axelrod | Dentist | 105 Technology Dr, Trumbull, CT 06611-6348 | 2006-08-31 |
1356351894 | Robert Gene Martire | Dentist | 4161 Madison Ave, Trumbull, CT 06611-3533 | 2006-08-08 |
1548879497 | Steven Singh Manku | Dentist | 115 Technology Dr Unit C203, Trumbull, CT 06611-6347 | 2020-07-27 |
1497216014 | Gabrielle Williamson | Dentist | 888 White Plains Rd Ste 102, Trumbull, CT 06611-4552 | 2019-03-27 |
1093273823 | Tara Jill Babushkin | Dentist | 888 White Plains Rd, Trumbull, CT 06611-4552 | 2019-03-11 |
1780951715 | Robert Axelrod Dentistry LLC | Dentist | 105 Technology Dr, Suite 2b, Trumbull, CT 06611-6348 | 2011-11-18 |
Find all providers in TRUMBULL |
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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.