ADVANCED DENTAL SLEEP MEDICINE OF CONNECTICUT, PC (NPI# 1215457551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215457551 |
| Entity Type | Organization |
| Organization Name | ADVANCED DENTAL SLEEP MEDICINE OF CONNECTICUT, PC |
| Practice Address |
46 Prince St Ste 310 New Haven CT 06519-1600 |
| Mailing Address |
2318 Main St Stratford CT 06615-5966 |
| Practice Telephone | 8445571701 |
| Practice Fax Number | 8889563939 |
| Mailing Telephone | 8445571701 |
| Mailing Fax Number | 8889563939 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2017-07-21 |
| Authorized Official Name | DR. REZA RADMAND (PRESIDENT) |
| Authorized Official Telephone | 8445571701 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 10264 | CT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841727229 | Advanced Dental Sleep Medicine of Connecticut, PC | Dentist | 1153 Centre St Ste 5-k, Boston, MA 02130-3446 | 2017-05-17 |
| 1487175782 | Advanced Dental Sleep Medicine of Connecticut, PC | Dentist | 85 Prescott St Ste 302, Worcester, MA 01605-2610 | 2017-06-28 |
| 1962922203 | Advanced Dental Sleep Medicine of Connecticut, PC | Dentist | 1208b Vfw Pkwy Ste 303, West Roxbury, MA 02132-4350 | 2017-06-27 |
| 1891159026 | Advanced Dental Sleep Medicine of Connecticut, PC | Dentist | 2318 Main St, Stratford, CT 06615-5966 | 2016-04-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ADVANCED DENTAL SLEEP MEDICINE OF CONNECTICUT, PC | 2318 Main St Ste 1, Stratford, CT 06615-5966 |
| Connecticut Business Registrations | ADVANCED DENTAL SLEEP MEDICINE OF CONNECTICUT, PC | 2514 Boston Post Road Unit C-1, Guilford, CT 06437 |
| Street Address |
46 PRINCE ST STE 310 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
| Find all providers in zip 06519 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568980696 | Anna Reutenauer | Dentist | 123 York St Ste 4l, New Haven, CT 06511 | 2017-09-08 |
| 1609206135 | Spretha Kadavath | Dentist | 50 Grand Ave, New Haven, CT 06513 | 2013-11-19 |
| 1457691677 | Nishan R Halim | Dentist | 308 Alden Ave, Apt A, New Haven, CT 06515-2114 | 2013-02-25 |
| 1013261080 | Kunal Kanani | Dentist | 122 Amity Rd, Dr. Dental, New Haven, CT 06515 | 2012-10-30 |
| 1407138837 | Robert P Ellison | Dentist | 615 Professional Park Dr, New Haven, IN 46774-1850 | 2011-09-12 |
| 1639473952 | Kara Gormley | Dentist | 111 Park St Ste 1b, New Haven, CT 06511-5472 | 2010-12-29 |
| 1538331434 | Iffat Nazneen | Dentist | 262 Grand Avenue, New Haven, CT 06513-3742 | 2008-03-31 |
| 1265570097 | Robert Barry Rosenblitt | Dentist | 1574 Chapel Street, New Haven, CT 06511-4205 | 2007-02-02 |
| 1265517015 | Stephen Carl Malinconico | Dentist | 770 Orange St, New Haven, CT 06511 | 2006-10-26 |
| 1437248770 | Maria C Jimenez | Dentist | 1395 Chapel Street, New Haven, CT 06511 | 2006-10-12 |
| Find all providers in NEW HAVEN | ||||
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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.