JENNIFER BERK (NPI# 1255463402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255463402 |
| Entity Type | Individual |
| Full Name | JENNIFER BERK |
| Practice Address |
153 Grove St Putnam CT 06260-2115 |
| Mailing Address |
466 Rocky Hill Rd Woodstock CT 06281-2819 |
| Practice Telephone | 8609283723 |
| Practice Fax Number | 8609280029 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 005611 | CT | Dental Providers |
| Street Address |
153 GROVE ST |
| City | PUTNAM |
| State | CT |
| Zip Code | 06260-2115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336234608 | Eleni Milas | Dentist | 153 Grove St, Putnam, CT 06260 | 2006-10-04 |
| 1902006802 | Walter P & Carolyn E Mcginn Dmd PC | Dentist | 153 Grove St, Putnam, CT 06260-2115 | 2007-07-19 |
| 1760515530 | Leslie Jacqueline Lawton | Dental Hygienist | 153 Grove St, Putnam, CT 06260-2115 | 2007-03-13 |
| 1962535724 | Lisa Ann Bagdoian | Dental Hygienist | 153 Grove St, Putnam, CT 06260-2115 | 2007-03-13 |
| 1710017561 | Monica Zurowski Deary | Dental Hygienist | 153 Grove St, Putnam, CT 06260-2115 | 2007-03-07 |
| 1194862698 | Carolyn Elizabeth Mcginn | Dentist | 153 Grove St, Putnam, CT 06260-2115 | 2007-01-31 |
| 1710032446 | Walter Phillip Mcginn | Dentist | 153 Grove St, Putnam, CT 06260-2115 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838139 | Shayna Marie Robinson | Behavior Technician | 62 Providence Pike Suite E, Putnam, CT 06260 | 2020-07-06 |
| 1649896390 | Bethany Barrette | Behavior Technician | 682 Providence Pike Suite E, Putnam, CT 06260 | 2020-06-18 |
| 1902450448 | Jillian Bellman | Registered Nurse | 391 Pomfret Street, Putnam, CT 06260 | 2019-08-01 |
| 1285297390 | Jourhana Colon | Behavior Technician | 62 Providence Pike Ste E, Putnam, CT 06260 | 2019-04-16 |
| 1457839417 | Amplisound, Inc. | Hearing Instrument Specialist | 19 Quinebaug Avenue, Putnam, CT 06260 | 2018-08-01 |
| 1184095960 | Lori Bergeron | Counselor | 391 Pomret Street, Putnam, CT 06260 | 2015-10-19 |
| 1558619957 | Merinessa Macayaon Quintilla | Physical Therapist | 10 Thurber Road, Genesis - Matulaitis Nursing Home, Putnam, CT 06260 | 2012-08-16 |
| 1235496936 | Mohsin Haseeb | Internal Medicine | Day Kimball Hospital, 320 Pomfret Street, Putnam, CT 06260 | 2012-04-18 |
| 1588932529 | Lifehouse Community Care, LLC | Home Health | 554 Liberty Highway Unit 2, Putnam, CT 06260 | 2011-12-05 |
| 1942433032 | Connecticut Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 57 Providence Pike, Putnam, CT 06260 | 2009-08-24 |
| Find all providers in zip 06260 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710957519 | Joe Moreno | Dental Hygienist | 202 Pomfret St, Putnam, CT 06260-1833 | 2006-01-24 |
| 1295290245 | Stephanie Lynn | Dental Hygienist | 202 Pomfret St, Putnam, CT 06260-1833 | 2019-02-04 |
| 1093190241 | Brittany Davis | Dental Hygienist | 202 Pomfret St, Putnam, CT 06260-1833 | 2015-07-29 |
| 1730583477 | Ashley Lewis | Dental Hygienist | 202 Pomfret St, Putnam, CT 06260-1833 | 2014-10-09 |
| 1700072774 | Lori Rita Lachapelle | Dental Hygienist | 202 Pomfret St, Putnam, CT 06260-1833 | 2007-09-24 |
| 1760515530 | Leslie Jacqueline Lawton | Dental Hygienist | 153 Grove St, Putnam, CT 06260-2115 | 2007-03-13 |
| 1962535724 | Lisa Ann Bagdoian | Dental Hygienist | 153 Grove St, Putnam, CT 06260-2115 | 2007-03-13 |
| 1710017561 | Monica Zurowski Deary | Dental Hygienist | 153 Grove St, Putnam, CT 06260-2115 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346847514 | Lilly Prado | Dental Hygienist | 317 W Preston St, Hartford, CT 06114-2337 | 2020-10-01 |
| 1124657945 | Dorjan Kodra | Dental Hygienist | 78 Chesterfield Ave, Wolcott, CT 06716-3225 | 2020-04-03 |
| 1639728298 | Ashlyn Mucha | Dental Hygienist | 55 Sargent Drive, Bethany, CT 06524-3135 | 2019-09-06 |
| 1245885748 | Michelle Ann Daconto | Dental Hygienist | 16 Backes Ct, Wallingford, CT 06492-4712 | 2019-08-02 |
| 1194378323 | Brittany Varano | Dental Hygienist | 55 Sargent Dr., Bethany, CT 06524 | 2019-07-17 |
| 1922570910 | Jessica Nicoletti | Dental Hygienist | 10 Main St Unit 106, Berlin, CT 06037-2661 | 2019-01-02 |
| 1821569914 | Maria Bianca Pierce | Dental Hygienist | 238 Old Grassy Hill Rd, Orange, CT 06477-2426 | 2018-12-16 |
| 1679058135 | Patricia A Johnson | Dental Hygienist | 271 Scott Swamp Rd, Farmington, CT 06032-3324 | 2018-10-01 |
| 1760964704 | Sheethal Joseph Mathew | Dental Hygienist | 49 South Main Street, Torrington, CT 06790 | 2018-09-06 |
| 1689182842 | Myology Orofacial Therapy LLC | Dental Hygienist | 71 East Ave # Q1, Norwalk, CT 06851-4903 | 2018-01-22 |
| 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.