SCHOOL OF DENTAL MEDICINE (Credential# 930201) is licensed (Outpatient Clinic) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2018. The license expiration date date is December 31, 2020. The license status is ACTIVE.
SCHOOL OF DENTAL MEDICINE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #OPC.0000330. The credential type is outpatient clinic. The effective date is January 1, 2018. The expiration date is December 31, 2020. The business address is 263 Farmington Ave, Farmington, CT 06030-0001. The current status is active.
| Licensee Name | SCHOOL OF DENTAL MEDICINE |
| Business Name | SCHOOL OF DENTAL MEDICINE |
| Doing Business As | SCHOOL OF DENTAL MEDICINE |
| Credential ID | 930201 |
| Credential Number | OPC.0000330 |
| Credential Type | Outpatient Clinic |
| Business Address |
263 Farmington Ave Farmington CT 06030-0001 |
| Business Type | GOVERNMENT AGENCY |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-01-01 |
| Effective Date | 2018-01-01 |
| Expiration Date | 2020-12-31 |
| Refresh Date | 2018-02-14 |
| Street Address | 263 FARMINGTON AVE |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-0001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erica Shen Nofziger | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2027-06-30 |
| Matthew D Goranson | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2026-06-30 |
| Jacob Silver | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Nicholas Bellas | 263 Farmington Ave, Farmington, CT 06032-1956 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Jennifer Hale | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Cory R Hewitt | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Sango Huwaa Mosia Asante | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Ryan Desrochers | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Kelsey D Greenhalgh | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Dentist | 2019-07-01 ~ 2025-06-30 |
| Derek J Tow | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Dentist | 2019-07-01 ~ 2025-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wendy A Miller | Mc1921 Farmington Ave # 263, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jason J Ziegler | 2 Courthouse Square, Farmington, CT 06030-0001 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Bryden T Considine | L2104 of Medicine Rm, Farmington, CT 06030-0001 | Resident Physician | 2017-07-03 ~ 2021-06-30 |
| Dillon Paulo | 4260 Cordoba Ct, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Omar Ibrahim | 263 Farmington Ave # Mc-1321, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jillian L Fortier | Uconn Health Center, Department of Surgery, Farmington, CT 06030-0001 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Douglas Zelisko | 263 Farmington Ave Dept Of, Farmington, CT 06030-0001 | Physician/surgeon | 2020-04-23 ~ 2021-01-31 |
| Ruchir D Trivedi | 263 Farmington Ave # Mc-1405, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Rawan J.j. Sarsour | 263 Farmington Ave # Mc3905, Farmington, CT 06030-0001 | Provisional Faculty Dentist | 2020-04-21 ~ 2021-04-30 |
| Angela Hart | General Medicine- Outpatient Pavilion, Farmington, CT 06030-0001 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 06030-0001 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | FARMINGTON |
| Zip Code | 06030 |
| License Type | Outpatient Clinic |
| License Type + County | Outpatient Clinic + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| University of Connecticut School of Dental Medicine | 1 Royce Cir Ste 108, Storrs Mansfield, CT 06268-2270 | Outpatient Clinic | 2018-10-01 ~ 2021-09-30 |
| Betances Elementary School Dental Clinic · Betances Early Reading Lab Magnet School, School-based Health Center | 42 Charter Oak Ave, Hartford, CT 06106-1909 | Outpatient Clinic | 2019-10-01 ~ 2022-09-30 |
| Parkville Elementary School Dental Clinic · Parkville Community School, School-based Health Center | 1755 Park St, Hartford, CT 06106-2160 | Outpatient Clinic | 2019-10-01 ~ 2022-09-30 |
| Mcdonough Elementary School Dental Clinic · Mcdonough Middle School, School-based Health Center | 111 Hillside Ave, Hartford, CT 06106-3018 | Outpatient Clinic | 2019-10-01 ~ 2022-09-30 |
| Moylan Elementary School Dental Clinic · Moylan Expeditionary Learning Academy, School-based Health Center | 101 Catherine St, Hartford, CT 06106-3521 | Outpatient Clinic | 2019-10-01 ~ 2022-09-30 |
| Wish Elementary School Dental Clinic | 350 Barbour St, Hartford, CT 06120-1002 | Outpatient Clinic | 2019-10-01 ~ 2022-09-30 |
| Fones School of Dental Hygiene Dental · Fones School of Dental Hygiene Dental Clinic | 60 Lafayette St, Bridgeport, CT 06604-7719 | Outpatient Clinic | 2020-01-01 ~ 2022-12-31 |
| Flood Middle School-school Based Dental Clinic | 490 Chapel St, Stratford, CT 06614-1690 | Outpatient Clinic | 2014-09-30 ~ 2019-09-30 |
| Milner Elementary School Dental Clinic | 104 Vine St, Hartford, CT 06112-2271 | Outpatient Clinic | 2015-10-01 ~ 2019-09-30 |
| Kinsella Elementary School Dental Clinic | 65 Van Block Ave, Hartford, CT 06106-2826 | Outpatient Clinic | 2019-10-01 ~ 2022-09-30 |
Please comment or provide details below to improve the information on SCHOOL OF DENTAL MEDICINE.
| 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).