KIDS DENTAL CARE ANESTHESIA, LLC (NPI# 1104172881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104172881 |
| Entity Type | Organization |
| Organization Name | KIDS DENTAL CARE ANESTHESIA, LLC |
| Practice Address |
733 Terryville Ave Bristol CT 06010-4034 |
| Mailing Address |
Po Box 41 Muncie IN 47308-0041 |
| Practice Telephone | 8605840441 |
| Mailing Telephone | 7652840493 |
| Mailing Fax Number | 7652842434 |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |
| Authorized Official Name | SALEH AKBAR (MANAGER) |
| Authorized Official Telephone | 8605840441 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 039079 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
733 TERRYVILLE AVE |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010-4034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376569012 | Ammar Idlibi | Dentist | 733 Terryville Ave, Bristol, CT 06010-4034 | 2006-07-14 |
| 1881083137 | Jaimie Vassiliou | Dentist | 733 Terryville Ave, Bristol, CT 06010-4034 | 2015-01-09 |
| 1760741318 | Eunice Dongyoon Lee | Dentist | 733 Terryville Ave, Bristol, CT 06010-4034 | 2012-05-15 |
| 1730487976 | Joseph Ross Guzzardi | Dentist | 733 Terryville Ave, Bristol, CT 06010-4034 | 2011-03-12 |
| 1891994802 | Laura P Posada-pacheco | Dentist | 733 Terryville Ave, Bristol, CT 06010-4034 | 2007-07-11 |
| 1619171790 | Kids Dental Care, LLC | Dentist | 733 Terryville Ave, Bristol, CT 06010-4034 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457991309 | A New Hope Caregiving Alliance LLC | Home Health | 225 North Main Street - Suite 107, Bristol, CT 06010 | 2020-01-08 |
| 1154981777 | Georgianna Sloate Lmft, LLC | Marriage & Family Therapist | 38 Kelley Street, Bristol, CT 06010 | 2019-06-17 |
| 1962062810 | Ariel Morley | Urology | 15 Riverside Avenue, Bristol, CT 06010 | 2019-06-13 |
| 1013439488 | Theresa Rose Manolitsis | Student in an Organized Health Care Education/Training Program | 170 Pondview Lane, Bristol, CT 06010 | 2017-07-07 |
| 1588103600 | Elizabeth Anne Costello | Pharmacist | 747 Pine Street, Bristol, CT 06010 | 2017-02-22 |
| 1992157903 | Aiman Riaz | Internal Medicine | 41 Brewster Rd # 5161, Bristol, CT 06010 | 2016-07-01 |
| 1346609955 | Monika Magdalena Sullivan | Nurse Practitioner | 122 Maple Street, Bristol, CT 06010 | 2016-02-11 |
| 1346660776 | Peter Bellezza | Podiatrist | 15 Riverside Ave, Bristol, CT 06010 | 2014-04-24 |
| 1487088001 | Stephen Alexander Merwin | Social Worker | 32 Laird Drive, Bristol, CT 06010 | 2013-08-30 |
| 1215369574 | In Kyung Lee | Dentist | 1192 Farmington Ave., Bristol, CT 06010 | 2013-08-08 |
| Find all providers in zip 06010 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043456064 | Fergus Dane John Lane | Anesthesiology | 350 Fern Hill Road, Bristol, CT 06010 | 2008-12-22 |
| 1386829430 | Joseph M. Nounou | Anesthesiology | 350 Blountville Hwy Ste 207, Bristol, TN 37620-1671 | 2008-01-08 |
| 1528144771 | Phillip Franklin Hoffer | Anesthesiology | 133 Queensgate, Bristol, TN 37620-3041 | 2006-10-31 |
| 1952369274 | Denise Ann Ward | Anesthesiology | 53272 Sylvan Ct, Bristol, IN 46507-9302 | 2006-05-03 |
| 1457745846 | Bucks County Pain and Perioperative Pllc | Anesthesiology | 501 Bath Rd, Suite 201, Bristol, PA 19007-3101 | 2015-03-24 |
| 1023303914 | Kimberley Howell | Anesthesiology | 41 Brewster Rd, Bristol, CT 06010-5141 | 2011-06-18 |
| 1194015412 | Stephen K Evans | Anesthesiology | 350 Blountville Hwy, Suite 207, Bristol, TN 37620-0213 | 2011-04-08 |
| 1679731269 | Michael August Long | Anesthesiology | 350 Blountville Hwy, #207, Bristol, TN 37620-0213 | 2008-05-30 |
| 1215117668 | Jonathan R Hughes | Anesthesiology | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2007-11-13 |
| 1326260787 | Meredith M. Kirkpatrick | Anesthesiology | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2007-05-03 |
| Find all providers in BRISTOL | ||||
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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.