DR. PHILIP RALPH MASCIA (NPI# 1053587592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053587592 |
| Entity Type | Individual |
| Full Name | DR. PHILIP RALPH MASCIA |
| Credential | D.D.S. |
| Practice Address |
360 Federal Rd Brookfield CT 06804-2426 |
| Mailing Address |
360 Federal Rd Brookfield CT 06804-2406 |
| Practice Telephone | 2037753344 |
| Practice Fax Number | 2037751328 |
| Mailing Telephone | 2037753344 |
| Mailing Fax Number | 2037751328 |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2016-09-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
009105 | CT | Dental Providers |
| Street Address |
360 FEDERAL RD |
| City | BROOKFIELD |
| State | CT |
| Zip Code | 06804-2426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710226857 | Ruchika Joon | Dentist | 360 Federal Rd, Brookfield, CT 06804-2406 | 2013-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306366620 | Tara Hanlon | Nurse Practitioner | 14 Shamrock Drive, Brookfield, CT 06804 | 2017-06-27 |
| 1558804617 | Total Assurance Home Healthcare | Respite Care | 6 Oak Branch Dr, Brookfield, CT 06804 | 2016-11-22 |
| 1154878619 | Regional Young Men's Christian Association of Western Connecticut, Inc | Health Educator | 241 Federal Road, Unit B21, Brookfield, CT 06804 | 2016-09-01 |
| 1285048330 | Altagracia Trinidad | Counselor | 40 Laurel Hill Rd Unit 308, Brookfield, CT 06804 | 2014-06-17 |
| 1619380276 | Benjamin Burke Clippinger | Orthopaedic Surgery | Greenknoll Professional Center, 60 Old New Milford Road, Suite 3e, Brookfield, CT 06804 | 2014-06-11 |
| 1801140371 | Christina M Muggeo | Physical Therapist | 60 Old New Milford Rd Ste 3a, Brookfield, CT 06804 | 2012-11-05 |
| 1952549099 | Joan P Draper | Ophthalmology | 17 Cove Rd, Brookfield, CT 06804 | 2009-01-28 |
| 1588822035 | Jillian Delorme | Psychologist | 828 Federal Rd Fl 2, Brookfield, CT 06804 | 2008-05-30 |
| 1740488212 | Nicholas Rutigliano | Physical Therapist | 3 Federal Rd Ste 100, Brookfield, CT 06804 | 2007-07-06 |
| 1851431373 | Arnold Stuart Zentner | Psychiatry & Neurology | 4 Twin Rocks Road, Brookfield, CT 06804 | 2007-02-07 |
| Find all providers in zip 06804 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275973166 | Meridian Endodontics and Periodontics | Dentist | 20350 Water Tower Blvd Ste 203, Brookfield, WI 53045-3558 | 2013-06-25 |
| 1710226857 | Ruchika Joon | Dentist | 360 Federal Rd, Brookfield, CT 06804-2406 | 2013-02-09 |
| 1700088614 | Kevin Patrick King | Dentist | 17280 W North Ave, Suite 202, Brookfield, WI 53045-4366 | 2007-06-03 |
| 1821207655 | Lance Koji Hashimoto | Dentist | 16650 W Bluemound Rd, 400, Brookfield, WI 53005-5920 | 2007-05-21 |
| 1770792293 | Access Endodontics LLC | Dentist | 16650 W Bluemound Rd, 400, Brookfield, WI 53005-5920 | 2007-05-21 |
| 1922217769 | Sheila Elizabeth Stover | Dentist | 16650 W Bluemound Rd, 400, Brookfield, WI 53005-5920 | 2007-05-21 |
| 1417002452 | Endodontic Associates, Ltd. | Dentist | 12660 W North Ave, Building D, Brookfield, WI 53005-4633 | 2007-01-23 |
| 1477615532 | Gregory Charles Haasch | Dentist | 12660 W North Ave, Brookfield, WI 53005-4633 | 2006-12-15 |
| 1275610768 | Daniel John Nencka | Dentist | 12660 W North Ave, Brookfield, WI 53005-4633 | 2006-11-01 |
| 1154415263 | Todd Keith Engel | Dentist | 12660 W North Ave, Building D, Brookfield, WI 53005-4633 | 2006-10-03 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 06804 |
Please comment or provide details below to improve the information on DR. PHILIP RALPH MASCIA.
| 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.