NORTHEAST IMPLANT & ORAL SURGERY, PC (NPI# 1215152574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215152574 |
| Entity Type | Organization |
| Organization Name | NORTHEAST IMPLANT & ORAL SURGERY, PC |
| Practice Address |
27 Hospital Ave Suite 306 Danbury CT 06810-5954 |
| Mailing Address |
27 Hospital Ave Ste 306 Danbury CT 06810-5961 |
| Practice Telephone | 2037970008 |
| Practice Fax Number | 2037437822 |
| Mailing Telephone | 2036284450 |
| Mailing Fax Number | 2036282350 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2019-12-03 |
| Authorized Official Name | DR. ANTHONY MICHAEL CUOMO (PRESIDENT) |
| Authorized Official Telephone | 2036284450 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
27 HOSPITAL AVE SUITE 306 |
| City | DANBURY |
| State | CT |
| Zip Code | 06810-5954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567806 | Dawn E Tendler | Nurse Anesthetist, Certified Registered | 27 Hospital Ave, Suite 202, Danbury, CT 06810-5954 | 2005-05-23 |
| 1225638950 | Maureen Lore | Nurse Practitioner | 27 Hospital Ave, Danbury, CT 06810-5954 | 2020-10-30 |
| 1275069353 | Nsl Center for Primary Care LLC | Clinic/Center | 27 Hospital Ave, Danbury, CT 06810-5954 | 2017-05-10 |
| 1841748647 | Brew Medical and Rejuvenation Clinic LLC | Specialist | 27 Hospital Ave, Suite 403, Danbury, CT 06810-5954 | 2016-09-21 |
| 1467805432 | Bio Reference Laboratories, Inc. | Clinical Medical Laboratory | 27 Hospital Ave, Suite 301, Danbury, CT 06810-5954 | 2016-07-14 |
| 1457786063 | Women's Health Associates, P.C. | Advanced Practice Midwife | 27 Hospital Ave, Suite 303, Danbury, CT 06810-5954 | 2013-09-13 |
| 1063727865 | Santha T. Kurien, Md PC | Community/Behavioral Health | 27 Hospital Ave, Suite 304, Danbury, CT 06810-5954 | 2010-08-17 |
| 1497920045 | Brian K Applebee | Chiropractor | 27 Hospital Ave, Ste 102, Danbury, CT 06810-5954 | 2008-04-24 |
| 1811183312 | Z. Michael Taweh Md Inc | Internal Medicine | 27 Hospital Ave, Suite 403, Danbury, CT 06810-5954 | 2007-09-18 |
| 1942421094 | Women's Health Associates, P.C. | Obstetrics & Gynecology | 27 Hospital Ave, Suite 303, Danbury, CT 06810 | 2007-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751017 | Jai Karan Singh | Student in an Organized Health Care Education/Training Program | 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 | 2020-05-14 |
| 1497377576 | Jahangir Rouzbehani Selakhor | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave. 06810-6099, Danbury, CT 06810 | 2020-05-12 |
| 1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
| 1740748755 | Jose Rafael Rivera | Pharmacist | 305 White St, Danbury, CT 06810 | 2019-03-08 |
| 1013406396 | Aswathi Elsa Mathew | Student in an Organized Health Care Education/Training Program | Greater Danbury Community Health Center, 120 Main St, Danbury, CT 06810 | 2018-05-02 |
| 1073001772 | Manish Kumar Gupta | Student in an Organized Health Care Education/Training Program | Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 | 2018-04-27 |
| 1396232005 | Ayushman Rai Sood | Student in an Organized Health Care Education/Training Program | 24 Hospital Avenue, Danbury Hospital, Danbury, CT 06810 | 2018-04-18 |
| 1366953705 | Connecticut Neurodiagnostics, LLC | Clinic/Center | 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 | 2017-10-12 |
| 1528585569 | Xing Zhu | Dentist | 28 Paulding Ter, Danbury, CT 06810 | 2017-08-29 |
| 1851812606 | Julie Susanne Alferi | Dental Hygienist | 70, Main Street, Danbury, CT 06810 | 2017-07-02 |
| Find all providers in zip 06810 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992916787 | Associated Oral and Maxillofacial Surgeons | Oral & Maxillofacial Surgery | 107 Newtown Rd., Suite 1a, Danbury, CT 06810 | 2007-05-24 |
| 1982616074 | Louis Vincent Theodos | Oral & Maxillofacial Surgery | 52 Federal Rd Ste 2a, Danbury, CT 06810-6162 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730411372 | Robert A Rossetti | Oral & Maxillofacial Surgery | 76 Palomba Drive, Enfield, CT 06082 | 2010-02-08 |
| 1699890723 | Philip Flemming Pacelli IIi | Oral & Maxillofacial Surgery | 166 Cherry Street, Suite A, New Canaan, CT 06840 | 2007-03-20 |
| 1497838056 | Steven Reiner | Oral & Maxillofacial Surgery | 80 S Main Street, Middletown, CT 06457 | 2006-10-24 |
| 1326062738 | Roger A Lowlicht | Oral & Maxillofacial Surgery | 185 Maple Ave, North Haven, CT 06473 | 2006-07-27 |
| 1447202593 | Robert A Rossetti Dmd Md PC | Oral & Maxillofacial Surgery | 76 Palamba Drive, Enfield, CT 06082 | 2006-05-17 |
| 1629038062 | John R Kashmanian Dmd PC | Oral & Maxillofacial Surgery | 15 A Searles Rd, Pomfret Center, CT 06259 | 2006-03-27 |
| 1578540043 | Ralph Szilagyi | Oral & Maxillofacial Surgery | 25 Weston Rd, Westport, CT 06880 | 2005-12-27 |
| 1336133446 | Richard J Martin | Oral & Maxillofacial Surgery | 159 Sachem St, Norwich, CT 06360-4144 | 2005-09-02 |
| 1861762635 | Ronald B Herriott Dmd PC | Oral & Maxillofacial Surgery | 259 Farmington Ave, Bristol, CT 06010-3969 | 2012-01-10 |
| 1639457898 | David Salomon | Oral & Maxillofacial Surgery | 2560 Dixwell Ave Ste 2a, Hamden, CT 06514-1852 | 2011-07-21 |
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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.