CONNECTICUT DENTAL PROFESSIONALS, P.C.


Address: 276 Oxford Rd Ste 2, Oxford, CT 06478-1956
Phone: 2036845808

CONNECTICUT DENTAL PROFESSIONALS, P.C. (NPI# 1083256226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083256226
Entity Type Organization
Organization Name CONNECTICUT DENTAL PROFESSIONALS, P.C.
Other Organization Name SWAN LAKE DENTAL CARE
Practice Address 276 Oxford Rd Ste 2
Oxford
CT 06478-1956
Practice Telephone 2036845808
Mailing Telephone 2034634309
Mailing Fax Number 2038286449
Enumeration Date 2019-10-09
Last Update Date 2020-01-03
Authorized Official Name JESSICA BRITT (CREDENTIALING COORDINATOR)
Authorized Official Telephone 2175405100
Is Organization Subpart Y
Parent Organization Name CONNECTICUT DENTAL PROFESSIONALS, P.C.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Other Provider/Organization Names

Other Name Type Code
Swan Lake Dental Care Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1104387489 Connecticut Dental Professionals, P.C. Dentist 111 East Ave Ste 200, Norwalk, CT 06851-5014 2019-03-28
1326645334 Connecticut Dental Professionals, P.C. Dentist 410 Saybrook Rd Ste 202, Middletown, CT 06457-4777 2020-10-02
1811508062 Connecticut Dental Professionals, P.C. Dentist 203 Storrs Rd, Mansfield Center, CT 06250-1638 2020-08-12
1104436633 Connecticut Dental Professionals, P.C. Dentist 203 Cherry St, Milford, CT 06460-3501 2020-08-10
1447886908 Connecticut Dental Professionals, P.C. Dentist 203 Storrs Rd, Mansfield Center, CT 06250-1638 2020-03-17
1881225878 Connecticut Dental Professionals, P.C. Dentist 243 Broad St, Milford, CT 06460-3269 2020-01-29

Other Data Sources

Entity Type Entity Name Entity Address
Connecticut Business Registrations CONNECTICUT DENTAL PROFESSIONALS, P.C. 50 Weston St, Hartford, CT 06120

Office Location

Street Address 276 OXFORD RD STE 2
City OXFORD
State CT
Zip Code 06478-1956

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528420270 Kristin Grasso Marriage & Family Therapist 5a Silano Drive, Oxford, CT 06478 2016-03-22
1760609333 Oxford Dental Associates Dentist 35 Old State Rd, Oxford, CT 06478 2007-04-18
1588660245 Rx Care Pharmacies, Inc Pharmacy 91 Willenbrock Rd Ste B1, Oxford, CT 06478-1036 2005-06-27
1164545349 Anna Mary Hunt Pharmacist 91 Willenbrock Rd Ste B1, Oxford, CT 06478-1036 2007-04-10
1952488520 Cornerstone Medical Services LLC Durable Medical Equipment & Medical Supplies 115 Hurley Rd Ste 4a, Oxford, CT 06478-1046 2006-11-01
1548713746 Price Chopper Inc Pharmacy 140 Main St, Oxford, CT 06478-1056 2016-07-25
1972850485 Stan Peter Lisewski Pharmacist 4 Kerski Dr, Oxford, CT 06478-1170 2012-08-14
1356511521 Apria Healthcare Inc Durable Medical Equipment & Medical Supplies 1 Jacks Hill Rd, Ste 1, Oxford, CT 06478-1190 2008-03-04
1992714208 Renee Joyce Richardson Nurse's Aide 46 Towner Ln, Oxford, CT 06478-1211 2006-08-05
1407415052 Mind Body Well Therapy, Pllc Counselor 160 Christian St, Oxford, CT 06478-1221 2019-06-07
Find all providers in zip 06478

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194330415 Drs Koren and Reimels Oxford Pllc Dentist 1419 College St Ste B, Oxford, NC 27565-2578 2020-09-14
1295221216 Abigail W Scanlan Dentist 115 Hilltop Vlg, Oxford, NC 27565-3002 2018-07-02
1124571500 Comfortable Care Dental Health Professionals, Pa Dentist 4232 E County Road 466, Suite 101, Oxford, FL 34484 2016-08-02
1700297991 Oxford Dental Associates Dentist 102 Conner Rd, Oxford, PA 19363-1292 2014-05-10
1225463219 Nour M Khalil Dentist 113 Sutton Ave, Oxford, MA 01540 2013-09-09
1902243454 Alex Dolgov Dentist 474 S. Locust Street, Oxford, OH 45056 2013-05-23
1457600868 Sid Pazokian D.d.s., P.a., II Dentist 1419 College St., Oxford, NC 27565-2578 2012-08-30
1558623488 Whitman Lamar Welch Dentist 420 Snow St, Oxford, AL 36203-1266 2012-06-15
1336441591 Ross Family Dental Clinic Dentist 127 Heritage Dr, Oxford, MS 38655-5458 2010-11-21
1710139746 Robert W Strong Dentist 2236 Baltimore Pike, Oxford, PA 19363-4025 2008-10-22
Find all providers in OXFORD

Competitor

Search similar providers

City OXFORD
Zip Code 06478

Improve Information

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Dataset Information

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.

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