DAVID E PRINDIVILLE DMD (Credential# 741619) is licensed (Dental Anesthesia/conscious Sedation Permit) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2011. The license expiration date date is April 30, 2015. The license status is INACTIVE.
DAVID E PRINDIVILLE DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #22.004845. The credential type is dental anesthesia/conscious sedation permit. The effective date is May 1, 2011. The expiration date is April 30, 2015. The business address is 310 Timrod Rd, Manchester, CT 06040-6734. The current status is inactive.
| Licensee Name | DAVID E PRINDIVILLE DMD |
| Credential ID | 741619 |
| Credential Number | 22.004845 |
| Credential Type | Dental Anesthesia/Conscious Sedation Permit |
| Business Address |
310 Timrod Rd Manchester CT 06040-6734 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1988-04-01 |
| Effective Date | 2011-05-01 |
| Expiration Date | 2015-04-30 |
| Refresh Date | 2015-08-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 147751 | CSP.0007501 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-01 - 2015-02-28 | INACTIVE | |
| 700689 | 2.004845 | Dentist | 1975-06-21 | 2013-10-01 - 2014-09-30 | INACTIVE |
| Street Address | 310 TIMROD RD |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-6734 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Denise M Prindiville | 310 Timrod Rd, Manchester, CT 06040 | Dental Hygienist | 2013-11-01 ~ 2014-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christine Carroll | 288 Timrod Rd, Manchester, CT 06040-6734 | Community Companion Home | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Fosuah Nketia | 61 Cougar Drive, Manchester, CT 06040 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| New Seasons Inc. | 164 East Center Street, Manchester, CT 06040 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kaylen Lam | 60 Chlistone Lane, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matilde Altamirano | 415 Gardner Street, Manchester, CT 06040 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
| Meilan Meilan Chen | 174 Middle Tpke, Manchester, CT 06040 | Nail Technician | ~ |
| Prince Acheampong | 32 Bigelow Street, Manchester, CT 06040 | Notary Public Appointment | ~ |
| Erin C Boyle | 470 Porter Street, Manchester, CT 06040 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dejone Mitchell | 64 Ruby Dr Apt. P, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Andrea H Clifford | 116 Longview Drive, Manchester, CT 06040 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tabia Thornton-bey | 103 Walek Farms Road, Manchester, CT 06040 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06040 | |||
| City | MANCHESTER |
| Zip Code | 06040 |
| License Type | Dental Anesthesia/Conscious Sedation Permit |
| License Type + County | Dental Anesthesia/Conscious Sedation Permit + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David A Galbraith | 507 Hopmeadow St, Simsbury, CT 06070 | Dental Anesthesia/conscious Sedation Permit | 2020-05-01 ~ 2021-04-30 |
| David B Poor | 501 Ocean Avenue, New London, CT 06320 | Dental Anesthesia/conscious Sedation Permit | 1981-01-01 ~ 1993-04-30 |
| David M Sheintop | 256 North Main St., Southington, CT 06489 | Dental Anesthesia/conscious Sedation Permit | 2020-07-01 ~ 2021-06-30 |
| Carlos R Ibanez Md | School of Dental Medicine/omfs-l7073, Farmington, CT 06030 | Dental Anesthesia/conscious Sedation Permit | 2008-05-16 ~ 2009-06-30 |
| Erik M Sayles | 546 S Broad St Ste 2a, Meriden, CT 06450-6601 | Dental Anesthesia/conscious Sedation Permit | 2020-04-01 ~ 2021-03-31 |
| Daniel J. Gill | 34 Dale Rd Ste 105, Avon, CT 06001-3659 | Dental Anesthesia/conscious Sedation Permit | 2020-09-01 ~ 2021-08-31 |
| Steven E. Smullin | 10 South St Ste 202, Ridgefield, CT 06877-4125 | Dental Anesthesia/conscious Sedation Permit | 2020-06-01 ~ 2021-05-31 |
| Jordan A Greenberg | 500 E Main St Ste 216, Branford, CT 06405-2937 | Dental Anesthesia/conscious Sedation Permit | 2020-09-01 ~ 2021-08-31 |
| Anthony Camillo | 107 Newtown Rd Ste 1a, Danbury, CT 06810-4151 | Dental Anesthesia/conscious Sedation Permit | 2020-06-01 ~ 2021-05-31 |
| Anthony P Tufaro | 501 Ocean Ave, New London, CT 06320 | Dental Anesthesia/conscious Sedation Permit | 1992-04-24 ~ 1993-04-30 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).