MR. DORJAN KODRA (NPI# 1124657945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124657945 |
| Entity Type | Individual |
| Full Name | MR. DORJAN KODRA |
| Credential | RDH |
| Practice Address |
78 Chesterfield Ave Wolcott CT 06716-3225 |
| Practice Telephone | 2032177582 |
| Mailing Telephone | 2032177582 |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-04-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 008224 | CT | Dental Providers |
| Street Address |
78 CHESTERFIELD AVE |
| City | WOLCOTT |
| State | CT |
| Zip Code | 06716-3225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043792708 | Angela Holly Berry | Nurse Practitioner | 17 Tyrrell Drive, Wolcott, CT 06716 | 2018-08-29 |
| 1114315322 | Kristen Bessette | Social Worker | 5 Pembroke Hill Road, Wolcott, CT 06716 | 2014-12-23 |
| 1740325596 | Richard A Dvarskas | Dentist | 311 Woodtick Rd, Wolcott, CT 06716 | 2007-02-20 |
| 1982743092 | Frank Cucolo | Chiropractor | 250 Wolcott Rd, Wolcott, CT 06716 | 2007-02-05 |
| 1598810731 | Family Dental Care LLC | Dentist | 503 Wolcott Road, Wolcott, CT 06716 | 2007-01-25 |
| 1033132386 | Paul Michael Didomizio | Chiropractor | 444 Wolcott Road, Wolcott, CT 06716 | 2006-07-26 |
| 1669402913 | Robert Alan Connors | Optometrist | 464 Wolcott Road, Wolcott, CT 06716 | 2006-07-03 |
| 1649724949 | Krista Conti | Physical Therapist | 465 Wolcott Rd, Wolcott, CT 06716 | 2016-08-04 |
| 1528427754 | Eszter Terez Peterfi | Nurse Practitioner | 503 Wolcott Rd, Wolcott, CT 06716 | 2016-02-16 |
| 1225331721 | Associates In Medicine | Internal Medicine | 464 Wolcott Road, Wolcott, CT 06716 | 2010-12-06 |
| Find all providers in zip 06716 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346847514 | Lilly Prado | Dental Hygienist | 317 W Preston St, Hartford, CT 06114-2337 | 2020-10-01 |
| 1639728298 | Ashlyn Mucha | Dental Hygienist | 55 Sargent Drive, Bethany, CT 06524-3135 | 2019-09-06 |
| 1245885748 | Michelle Ann Daconto | Dental Hygienist | 16 Backes Ct, Wallingford, CT 06492-4712 | 2019-08-02 |
| 1194378323 | Brittany Varano | Dental Hygienist | 55 Sargent Dr., Bethany, CT 06524 | 2019-07-17 |
| 1922570910 | Jessica Nicoletti | Dental Hygienist | 10 Main St Unit 106, Berlin, CT 06037-2661 | 2019-01-02 |
| 1821569914 | Maria Bianca Pierce | Dental Hygienist | 238 Old Grassy Hill Rd, Orange, CT 06477-2426 | 2018-12-16 |
| 1679058135 | Patricia A Johnson | Dental Hygienist | 271 Scott Swamp Rd, Farmington, CT 06032-3324 | 2018-10-01 |
| 1760964704 | Sheethal Joseph Mathew | Dental Hygienist | 49 South Main Street, Torrington, CT 06790 | 2018-09-06 |
| 1689182842 | Myology Orofacial Therapy LLC | Dental Hygienist | 71 East Ave # Q1, Norwalk, CT 06851-4903 | 2018-01-22 |
| 1578075685 | Dawn Mcdermott | Dental Hygienist | 55 Waverly St, Hartford, CT 06112-1625 | 2017-10-30 |
| Find all providers with the same taxonomy | ||||
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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.