PRINDIVILLE, PERACCHIO & SAUNDERS, DMD PC (NPI# 1174736920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174736920 |
| Entity Type | Organization |
| Organization Name | PRINDIVILLE, PERACCHIO & SAUNDERS, DMD PC |
| Practice Address |
945 Main St Suite 310 Manchester CT 06040-6064 |
| Practice Telephone | 8606479926 |
| Practice Fax Number | 8606457723 |
| Mailing Telephone | 8606479926 |
| Mailing Fax Number | 8606457723 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2008-05-01 |
| Authorized Official Name | DR. PAUL C PERACCHIO (TREASURER) |
| Authorized Official Telephone | 8606479926 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
7708 | CT | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
8903 | CT | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
4845 | CT | Dental Providers |
| Street Address |
945 MAIN ST SUITE 310 |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-6064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699776062 | Bradley J. Daar | Dentist | 945 Main St, Suite 302, Manchester, CT 06040-6064 | 2005-08-09 |
| 1033667506 | Burch Counseling Services LLC | Community/Behavioral Health | 945 Main St, Suite 211, Manchester, CT 06040-6064 | 2016-09-14 |
| 1568890069 | Mgadams, LLC | Counselor | 945 Main St, Suite 211, Manchester, CT 06040-6064 | 2013-10-17 |
| 1184967432 | Kaitlyn Marie Guardino | Internal Medicine | 945 Main St, Suite 308, Manchester, CT 06040-6064 | 2013-04-04 |
| 1134402019 | Ali Shakibai, Md, LLC | Internal Medicine | 945 Main St, Suite 205, Manchester, CT 06040-6064 | 2011-09-27 |
| 1770814956 | Connecticut Family Dentistry, LLC | Dentist | 945 Main St, Suite 101, Manchester, CT 06040-6064 | 2010-01-27 |
| 1053597567 | Diana M Radulescu II | Dentist | 945 Main St, Suite 302, Manchester, CT 06040-6064 | 2008-01-15 |
| 1609051044 | Heritage Internal Medicine Associates LLC | Internal Medicine | 945 Main St, Suite 102, Manchester, CT 06040-6064 | 2008-01-03 |
| 1255477543 | Lindsey Devin | Marriage & Family Therapist | 945 Main St, Suite 211, Manchester, CT 06040-6064 | 2007-01-30 |
| 1871675298 | Faye F Mamaghani | Dentist | 945 Main St, Suite 302, Manchester, CT 06040-6064 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
| Find all providers in zip 06040 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871649780 | Mark D Abel | Dentist | 27 Sagamore St, Manchester, NH 03104-3547 | 2007-01-25 |
| 1205197647 | Matthew Nichols Dds Oral and Facial Surgery Pllc | Dentist | 1425 Mcarthur St, Manchester, TN 37355-2517 | 2012-06-01 |
| 1477707081 | Rosenlicht Surgery Center | Dentist | 483 Middle Tpke W, Suite 102, Manchester, CT 06040-3863 | 2008-11-10 |
| 1417114687 | North Manchester Oral and Maxillofacial Surgery, Pllc | Dentist | 27 Sagamore St, Manchester, NH 03104-3547 | 2008-05-16 |
| 1760659544 | Gopi K. Voonna | Dentist | 1 Elliot Way, Manchester, NH 03103-3502 | 2008-05-12 |
| 1407984412 | Kimberlyn Darlene Fowler | Dentist | 555 Auburn St, Manchester, NH 03103 | 2007-03-01 |
| 1922105352 | John Charles Mccabe | Dentist | 483 W Middle Tpke, Ste-200, Manchester, CT 06040 | 2006-09-20 |
| 1295744118 | Joel Lawrence Rosenlicht | Dentist | 483 Middle Tpke W, Manchester, CT 06040-3863 | 2006-08-07 |
| 1497774152 | Ryaz Ansari | Dentist | 483 Middle Tpke W, Suite 102, Manchester, CT 06040-3863 | 2006-07-19 |
| 1457316473 | William P Dobbin | Dentist | 4 Elliot Way, Manchester, NH 03103-3547 | 2006-04-20 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06040 |
Please comment or provide details below to improve the information on PRINDIVILLE, PERACCHIO & SAUNDERS, DMD PC.
| 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.