DR. DENTAL OF MANCHESTER, PC (NPI# 1083006431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083006431 |
| Entity Type | Organization |
| Organization Name | DR. DENTAL OF MANCHESTER, PC |
| Practice Address |
240 Spencer St Manchester CT 06040-4618 |
| Mailing Address |
55 Meridian St East Boston MA 02128-1959 |
| Practice Telephone | 6178232111 |
| Mailing Telephone | 6178232111 |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-02-23 |
| Authorized Official Name | MR. ALEX FAIGEL (MANAGING DIRECTOR) |
| Authorized Official Telephone | 6178232111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 10025 | CT | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | DR. DENTAL OF MANCHESTER, PC | 240 Spencer Street, Manchester, CT 06040 |
| Street Address |
240 SPENCER ST |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-4618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043686959 | Roohan Sidhu | Dentist | 240 Spencer St, Dr Dental, Manchester, CT 06040-4618 | 2015-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
| Find all providers in zip 06040 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588051239 | Bryan Watanabe Dds Manchester Dental Group, PC | Dentist | 1001 Brittany Parkway Dr, Manchester, MO 63011-4325 | 2015-04-21 |
| 1508266750 | Michael Christian | Dentist | 168 Spencer St, Manchester Smiles, Manchester, CT 06040-4616 | 2014-08-25 |
| 1821438367 | Charlie Dallas Manning Iv | Dentist | 1056 Mcarthur St, Manchester, TN 37355-2454 | 2013-06-28 |
| 1043563182 | Nagamani Ambatipudi | Dentist | 483 Middle Turnpike W, Suite 309, Manchester, CT 06040 | 2012-10-25 |
| 1790047330 | John Michael Taylor | Dentist | 6004 Mcminnville Hwy, Manchester, TN 37355-3814 | 2012-06-11 |
| 1598078529 | Jayde Ismae Nadia Moxey | Dentist | 1131 Tolland Tpke, Manchester, CT 06042-1679 | 2010-07-19 |
| 1053563999 | Michael Raymond Hamel | Dentist | 321 Lincoln St., Suite 203, Manchester, NH 03103 | 2008-10-22 |
| 1487837449 | Michelle Knisley Ayres | Dentist | 130 Wayne Frye Dr, Manchester, OH 45144-9314 | 2007-12-13 |
| 1235323684 | Sherif K Bishara | Dentist | 26 West Webster Street, Manchester, NH 03104-2912 | 2007-08-29 |
| 1184815854 | Cheryl A Ogden | Dentist | 2626 Brown Ave, Manchester, NH 03103-6806 | 2007-08-07 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06040 |
Please comment or provide details below to improve the information on DR. DENTAL OF MANCHESTER, PC.
| 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.