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).
| 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. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Swan Lake Dental Care | Doing Business As Name - Organization |
| 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 |
| Street Address |
276 OXFORD RD STE 2 |
| City | OXFORD |
| State | CT |
| Zip Code | 06478-1956 |
| 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 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 |
|---|---|---|---|---|
| 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 | ||||
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| 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.