EZRA FRIEDMAN DDS (NPI# 1134774953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134774953 |
| Entity Type | Organization |
| Organization Name | EZRA FRIEDMAN DDS |
| Practice Address |
464 Wolcott Rd Ste 2 Wolcott CT 06716-2626 |
| Practice Telephone | 2038794649 |
| Practice Fax Number | 2038795560 |
| Mailing Telephone | 2038794649 |
| Mailing Fax Number | 2038795560 |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |
| Authorized Official Name | DR. EZRA FRIEDMAN (OWNER) |
| Authorized Official Telephone | 2038794649 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| dental health associates | Doing Business As Name - Organization |
| Street Address |
464 WOLCOTT RD STE 2 |
| City | WOLCOTT |
| State | CT |
| Zip Code | 06716-2626 |
| 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 | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
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| 1194357418 | Bolton Lake Dental LLC | Clinic/Center | 1120 Boston Tpke, Bolton, CT 06043-7439 | 2020-02-05 |
| 1124669924 | Dental Essentials of Rocky Hill | Clinic/Center | 2301 Silas Deane Hwy # 2, Rocky Hill, CT 06067-2330 | 2019-10-02 |
| 1730736216 | Pearl Dental of Trumbull, Pllc | Clinic/Center | 140 Monroe Tpke Unit C, Trumbull, CT 06611-1357 | 2019-08-20 |
| 1790343051 | Madison Dental Spa | Clinic/Center | 90 Wall St Ste 100, Madison, CT 06443-3128 | 2019-06-03 |
| 1730644212 | Resolute Cross Road LLC | Clinic/Center | 112 Cross Rd, Waterford, CT 06385-1204 | 2019-02-08 |
| 1861966954 | James S Bauer Dmd Incorporated | Clinic/Center | 40 Main St N Ste E, Woodbury, CT 06798-2966 | 2019-01-11 |
| 1821568650 | Parkway Dental Np LLC | Clinic/Center | 1869 Dixwell Ave Ste 4, Hamden, CT 06514-3145 | 2018-12-05 |
| 1821565128 | Springdale Dental Group | Clinic/Center | 1081 Hope St Ste A, Stamford, CT 06907-1824 | 2018-10-25 |
| 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.