BLOOMFIELD FAMILY DENTAL, PC (NPI# 1245583798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245583798 |
| Entity Type | Organization |
| Organization Name | BLOOMFIELD FAMILY DENTAL, PC |
| Practice Address |
2 Wintonbury Mall # 5 Bloomfield CT 06002-2466 |
| Practice Telephone | 8606566941 |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2013-02-05 |
| Authorized Official Name | DR. SHARI N MATHEW (PRESIDENT) |
| Authorized Official Telephone | 8606566941 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
2 WINTONBURY MALL # 5 |
| City | BLOOMFIELD |
| State | CT |
| Zip Code | 06002-2466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558908897 | Duncaster, Inc. | Clinic/Center | 30 Loeffler Rd., Bloomfield, CT 06002 | 2019-12-05 |
| 1104467919 | Caroline Suzanne Carey Oesch | Counselor | 71 West Dudley St, Bloomfield, CT 06002 | 2019-10-02 |
| 1679047534 | Inspire Me, LLC | Counselor | 1-2 Camelot Drive, Bloomfield, CT 06002 | 2019-01-14 |
| 1508348947 | Rebecca Perry | Student in an Organized Health Care Education/Training Program | 693 Bloomfield Avenue, Bloomfield, CT 06002 | 2018-09-01 |
| 1760996946 | Monique Edwards | Social Worker | 705 New Briatin Ave, Chd, Bloomfield, CT 06002 | 2017-11-27 |
| 1225564412 | Merva E Dixon | Nurse Practitioner | 38 Hill Farm Rd, Bloomfield, CT 06002 | 2017-05-07 |
| 1538602610 | Jaime Acevedo | Counselor | 571 Bloomfield Ave, Bloomfield, CT 06002 | 2016-11-22 |
| 1669835138 | Jacob Badura | Pharmacist | 799-824 Park Ave, Bloomfield, CT 06002 | 2016-04-01 |
| 1316283328 | Julie Jason Farrelly | Counselor | 45 Wintonbury Ave Ste 102, Bloomfield, CT 06002 | 2012-12-19 |
| 1184915860 | Rachel Benedetto Scott | Surgery | 6 Northwestern Drive, Suite 305, Bloomfield, CT 06002 | 2011-04-28 |
| Find all providers in zip 06002 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023500030 | Jeffrey D Haimson Dmd | Dentist | 1018 Broad St Ste 4, Bloomfield, NJ 07003-2884 | 2018-06-05 |
| 1134648660 | Kushan K Shah | Dentist | 2 Wintonbury Mall Ste 5, Bloomfield, CT 06002-2466 | 2017-09-15 |
| 1023344181 | Sundance Dental Care of Bloomfield, LLC. | Dentist | 100 South First Street, Bloomfield, NM 87413 | 2009-10-26 |
| 1861648768 | Qiaomei Yan | Dentist | 800 Cottage Grove Rd # Set311, Bloomfield, CT 06002-3064 | 2008-08-11 |
| 1467626721 | Anthony V. Parrillo | Dentist | 171 Willard Ave, Bloomfield, NJ 07003-4800 | 2008-04-17 |
| 1457547937 | Elizabeth Sandoval | Dentist | 1025 Broad St Ste 3, Bloomfield, NJ 07003-2844 | 2007-09-19 |
| 1548463680 | Anthony Gerard Devincentis | Dentist | 1218 Broad St, Bloomfield, NJ 07003-3031 | 2007-06-07 |
| 1578684742 | Robert Lewis Adams | Dentist | 12 Carnoustie Cir., Bloomfield, CT 06002 | 2007-04-03 |
| 1720130024 | Lori A Haines | Dentist | 112 Fairfield Hill, Bloomfield, KY 40008 | 2007-01-17 |
| 1679623953 | Marc I Moscowitz | Dentist | 731 Bloomfield Ave, Bloomfield, NJ 07003-2514 | 2007-01-11 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 06002 |
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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.