JEFFREY D. BERT, D.D.S., M.D.SC., P.C. (NPI# 1194730614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194730614 |
Entity Type | Organization |
Organization Name | JEFFREY D. BERT, D.D.S., M.D.SC., P.C. |
Practice Address |
561 Saybrook Rd Middletown CT 06457-4718 |
Practice Telephone | 8603478004 |
Practice Fax Number | 8603469131 |
Mailing Telephone | 8603478004 |
Mailing Fax Number | 8603469131 |
Enumeration Date | 2006-07-31 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. JEFFREY DAVID BERT (OWNER) |
Authorized Official Telephone | 8603478004 |
Authorized Official Credential | D.D.S. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
5368 | CT | Ambulatory Health Care Facilities |
Street Address |
561 SAYBROOK RD |
City | MIDDLETOWN |
State | CT |
Zip Code | 06457-4718 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215345145 | Jeffrey Bert | Dentist | 561 Saybrook Rd, Middletown, CT 06457-4791 | 2014-07-23 |
1841617933 | Michael Kelly | Dentist | 561 Saybrook Rd, Middletown, CT 06457-4791 | 2014-03-26 |
1134554165 | Gillian R. Kelly | Dentist | 561 Saybrook Rd, Middletown, CT 06457-4791 | 2013-09-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
Find all providers in zip 06457 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811171879 | Theodore J. Zervas, Dmd, LLC | Clinic/Center | 484 Main St Ste 32, Middletown, CT 06457-2866 | 2007-12-26 |
1942844998 | Courtney J Lam Dmd Pllc | Clinic/Center | 244 Adelia St, Middletown, PA 17057-2711 | 2019-11-03 |
1790349140 | Sanibel Dental Associates LLC | Clinic/Center | 955 S Main St, Middletown, CT 06457-5153 | 2019-04-30 |
1164086609 | Middletown Smiles, LLC | Clinic/Center | 717 Newfield St, Middletown, CT 06457-1815 | 2019-04-30 |
1174026587 | Middletown Family Dental, LLC | Clinic/Center | 770 Aquidneck Ave, Middletown, RI 02842-7246 | 2018-03-12 |
1073931291 | Paul Duggal P.C. | Clinic/Center | 119 Wickham Ave, Middletown, NY 10940-3714 | 2014-04-03 |
1497070148 | Oral Surgery Group of Middletown, Pllc | Clinic/Center | 134 Evergreen Rd, Middletown, KY 40243-1487 | 2010-04-06 |
1881916229 | Patricia E. Miller Inc. | Clinic/Center | 20 Ridge St, Middletown, NY 10940-3305 | 2010-02-26 |
1508020991 | Aquidneck Avenue Family Dental | Clinic/Center | 747 Aquidneck Ave, Middletown, RI 02842-7265 | 2008-07-15 |
1609054584 | Periodontic & Endodontic Services | Clinic/Center | 11708 Main St, Middletown, KY 40243-1426 | 2008-02-04 |
Find all providers in MIDDLETOWN |
City | MIDDLETOWN |
Zip Code | 06457 |
Please comment or provide details below to improve the information on JEFFREY D. BERT, D.D.S., M.D.SC., P.C..
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.