MAKSIM SEREBRO (NPI# 1033420666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033420666 |
| Entity Type | Individual |
| Full Name | MAKSIM SEREBRO |
| Credential | DDS |
| Practice Address |
910 Boston Post Rd West Haven CT 06516 |
| Practice Telephone | 2039343400 |
| Mailing Telephone | 2039343400 |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2015-04-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
010298 | CT | Dental Providers |
| Street Address |
910 BOSTON POST RD |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891281366 | Bon Dental | Dentist | 910 Boston Post Rd, West Haven, CT 06516-1845 | 2018-07-07 |
| 1437558095 | Ryan Ku | Dentist | 910 Boston Post Rd, West Haven, CT 06516-1845 | 2014-08-20 |
| 1518259860 | Serebro Dental P.C. | Dentist | 910 Boston Post Rd, West Haven, CT 06516-1838 | 2011-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956421 | Thomas Lorbie Thomson IIi | Nurse Practitioner | Va Connecticut Healthcare, 950 Campbell Avenue, Mail Code: 11acsl1, Building 2b, West Haven, CT 06516 | 2020-06-12 |
| 1659911238 | Claudine Pettigrew | Social Worker | 114-52 Boston Post Road, West Haven, CT 06516 | 2020-01-10 |
| 1811531544 | Medical Center Pharmacy and Home Care Center, Inc. | Pharmacy | 600 Derby Avenue, West Haven, CT 06516 | 2019-11-06 |
| 1821649203 | Michaela Lachance | Physical Therapist | 95 Campbell Ave, West Haven, CT 06516 | 2019-09-26 |
| 1295215739 | Lisa Marie Litrenta | Social Worker | 114-152 Boston Post Rd, #2, West Haven, CT 06516 | 2018-08-15 |
| 1386121895 | Theresa Boateng | Homemaker | 150 Shingle Hill Rd, West Haven, CT 06516 | 2018-07-26 |
| 1902383458 | Bianca Gondek | Social Worker | 114-152 Boston Post Rd #2, West Haven, CT 06516 | 2018-07-26 |
| 1790279172 | Blanca L. Paccha | Nurse Practitioner | 950 Campbell Ave Bldg 2b, West Haven, CT 06516 | 2018-06-19 |
| 1184133597 | Lotus Counseling Services LLC | Counselor | 101 White St, West Haven, CT 06516 | 2017-09-28 |
| 1053867283 | Alesia Wellington | Social Worker | 114-152 Boston Post Rd, 2nd Floor, West Haven, CT 06516 | 2016-08-28 |
| Find all providers in zip 06516 | ||||
| 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 |
|---|---|---|---|---|
| 1558904987 | Baybrook Dental | Dentist | 4 Ocean Ave # 2, West Haven, CT 06516-7048 | 2019-10-17 |
| 1164673604 | Robert John Ruby Jr. | Dentist | 1000 Orange Avenue, West Haven, CT 06516 | 2008-10-02 |
| 1659499119 | George L Discher | Dentist | 654 Savin Ave, West Haven, CT 06516-4901 | 2007-03-26 |
| 1447337910 | Louis Wade Meyer | Dentist | 4645 Midland Dr Ste 1, West Haven, UT 84401-9507 | 2006-11-01 |
| 1386733855 | Anthony David Bellucci | Dentist | 640 Savin Ave, West Haven, CT 06516-4936 | 2006-10-12 |
| 1588752828 | Soundental Assoc P.C. | Dentist | 655 Sawmill Rd, West Haven, CT 06516 | 2006-10-11 |
| 1033132584 | Lawrence Messina | Dentist | 141 Captain Thomas Blvd, West Haven, CT 06516-5914 | 2006-07-25 |
| 1699795575 | Michael A Norman | Dentist | 233 Elm St, West Haven, CT 06516-4635 | 2006-07-20 |
| 1255376521 | Ivette Yolanda Nolasco | Dentist | 744 Savin Ave, West Haven, CT 06516-4314 | 2006-06-19 |
| 1891281366 | Bon Dental | Dentist | 910 Boston Post Rd, West Haven, CT 06516-1845 | 2018-07-07 |
| Find all providers in WEST HAVEN | ||||
| City | WEST HAVEN |
| Zip Code | 06516 |
Please comment or provide details below to improve the information on MAKSIM SEREBRO.
| 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.