DR. ALEXANDRA V BRENNAN (NPI# 1205190022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205190022 |
| Entity Type | Individual |
| Full Name | DR. ALEXANDRA V BRENNAN |
| Credential | DMD |
| Practice Address |
392 Salem Tpk Bozrah CT 06334 |
| Practice Telephone | 8608865576 |
| Practice Fax Number | 8608851379 |
| Mailing Telephone | 8608865576 |
| Mailing Fax Number | 8608851379 |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2015-08-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | LD00076 | RI | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
11364 | CT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578092508 | Alexandra Kay Brennan | Student in an Organized Health Care Education/Training Program | 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2017-06-04 |
| 1528433323 | Alexandra Brennan | Occupational Therapist | 68 Consumer Center Dr, Chillicothe, OH 45601-2667 | 2015-12-04 |
| Street Address |
392 SALEM TPK |
| City | BOZRAH |
| State | CT |
| Zip Code | 06334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679656631 | Elaine Bentley Baughn | Marriage & Family Therapist | 44r Lebanon Rd, Bozrah, CT 06334 | 2006-10-23 |
| 1265539431 | Bozrah Volunteer Fire Company Inc | Ambulance | 239 Fitchville Rd, Bozrah, CT 06334-1111 | 2006-09-20 |
| 1649607201 | Inner Connections | Social Worker | 44 Lebanon Rd, Bozrah, CT 06334-1116 | 2013-09-27 |
| 1255765160 | Trudy Friedberg | Counselor | 46 Lebanon Rd # 3b, Bozrah, CT 06334-1116 | 2013-08-27 |
| 1821165788 | Heather Jo Bonitz-moore | Counselor | 46 Lebanon Rd, Bozrah, CT 06334-1116 | 2006-11-29 |
| 1932153756 | Jill E Millea | Counselor | 46 Lebanon Rd # 4a, Bozrah, CT 06334-1116 | 2006-05-19 |
| 1093223976 | Sacred Space Counseling and Wellness LLC | Counselor | 46 Lebanon Rd, Bozrah, CT 06334-1116 | 2018-01-13 |
| 1629213954 | Carla S Ricci | Marriage & Family Therapist | 46 Lebanon Rd, Bozrah, CT 06334-1116 | 2008-12-16 |
| 1255535357 | Tvcca Senior Nutrition Program | Home Delivered Meals | 81 Stockhouse Rd, Bozrah, CT 06334-1121 | 2007-06-13 |
| 1881966679 | Marc Nee | Marriage & Family Therapist | 102 Fitchville Rd, Bozrah, CT 06334-1127 | 2012-02-08 |
| Find all providers in zip 06334 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225028657 | Children's Dental Associates of Nlc, PC | Dentist | 392 Salem Tpke, Bozrah, CT 06334-1519 | 2005-10-26 |
| 1124521687 | Lauren Dulieu Presti | Dentist | 392 Salem Tpke, Bozrah, CT 06334-1519 | 2018-03-12 |
| 1629389069 | Romina Badal | Dentist | 392 Salem Tpke, Bozrah, CT 06334-1519 | 2010-06-30 |
| 1376794024 | Lia Marie Parico | Dentist | 392 Salem Tpke, Children's Dental Associates of New London County, PC, Bozrah, CT 06334-1519 | 2008-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902426240 | River Road Pediatric Dentistry, LLC | Dentist | 865 River Rd Ste 10, Shelton, CT 06484-5464 | 2020-04-16 |
| 1326507369 | True Pediatric Dental Care LLC | Dentist | 233 Elm St Fl 2, West Haven, CT 06516-4635 | 2019-03-19 |
| 1740756345 | Grace Tylo LLC | Dentist | 35 Cold Spring Rd Ste 324, Rocky Hill, CT 06067-3163 | 2018-10-22 |
| 1932684990 | Orange Children's Dentistry, LLC | Dentist | 518 Boston Post Rd Ste 4-5, Orange, CT 06477-3554 | 2018-09-26 |
| 1992293443 | Braces On Me, P.C. | Dentist | 209 Boston Post Rd Ste 312, Milford, CT 06460-3161 | 2018-04-30 |
| 1417452541 | Bloomfield Pediatric Dentistry Pllc | Dentist | 34 Jerome Ave Ste 200, Bloomfield, CT 06002-2463 | 2018-03-29 |
| 1033622246 | Magicland Pediatric Dental LLC | Dentist | 815 Wolcott St, Waterbury, CT 06705-1301 | 2017-11-09 |
| 1023569654 | The Little Tooth Company Pediatric Dentistry LLC | Dentist | 264 Queen St, Suite A, Southington, CT 06489-1901 | 2016-10-19 |
| 1386035707 | Modern Family Dental | Dentist | 360 Boston Ave, Suite 17, Stratford, CT 06614-5213 | 2015-02-06 |
| 1053727479 | Sph3enterprise, LLC | Dentist | 194 Buckland Hills Drive, Manchester, CT 06042 | 2014-07-07 |
| 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.