DR. MANZEL RICHARD WOODFORK (NPI# 1265923684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265923684 |
| Entity Type | Individual |
| Full Name | DR. MANZEL RICHARD WOODFORK |
| Credential | DMD |
| Practice Address |
35 Talcottville Rd Vernon CT 06066-5261 |
| Practice Telephone | 8608969000 |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2019-08-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12589 | CT | Dental Providers |
| Street Address |
35 TALCOTTVILLE RD |
| City | VERNON |
| State | CT |
| Zip Code | 06066-5261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598878936 | Price Chopper Inc | Pharmacy | 35 Talcottville Rd, Vernon, CT 06066-5261 | 2006-08-17 |
| 1811512833 | Bharath Ramesh Kumar | Dentist | 35 Talcottville Rd, Vernon, CT 06066-5261 | 2020-06-15 |
| 1407490055 | Oculusdocs, LLC | Optometrist | 35 Talcottville Rd, Vernon, CT 06066 | 2019-11-06 |
| 1962062927 | Joseph Mascolo Sr. | Nurse Practitioner | 35 Talcottville Rd, Vernon, CT 06066-5261 | 2019-06-20 |
| 1760945125 | Waverly Markets of Vernon LLC | Durable Medical Equipment & Medical Supplies | 35 Talcottville Rd, Vernon, CT 06066-5261 | 2019-04-11 |
| 1497252696 | Sara Migneault | Nurse Practitioner | 35 Talcottville Rd, Vernon, CT 06066-5261 | 2018-04-12 |
| 1326587775 | Kendall Hodges | Nurse Practitioner | 35 Talcottville Rd, Vernon, CT 06066 | 2017-02-17 |
| 1366993164 | Constandina Patricia Conley | Nurse Practitioner | 35 Talcottville Rd, Suite 5, Vernon, CT 06066-5261 | 2016-10-18 |
| 1760834618 | Sumit Moradia | Dentist | 35 Talcottville Rd, Vernon, CT 06066-5261 | 2016-07-04 |
| 1790165801 | Kathleen Dang | Optometrist | 35 Talcottville Rd, Vernon, CT 06066-5261 | 2015-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659992204 | Kumeh Bestman | Social Worker | 41 Jeff Road, Vernon, CT 06066 | 2020-05-05 |
| 1114567922 | Irina Bratan | Nurse Practitioner | 35 Talcottvile Road, Vernon, CT 06066 | 2020-01-09 |
| 1457833899 | Jessica Elizabeth Navallil | Pharmacist | 188 Union Street, Vernon, CT 06066 | 2018-09-02 |
| 1528557709 | Andre Spence | Counselor | 66 Orchard St, Vernon, CT 06066 | 2018-05-03 |
| 1992207468 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 400-1 Talcottville Rd, Vernon, CT 06066 | 2018-03-01 |
| 1811425754 | Patricia Cosgrove Barresi | Occupational Therapy Assistant | 1253 Hartford Turnpike, Vernon, CT 06066 | 2017-05-23 |
| 1922539592 | Ctuc01 | Clinic/Center | 179 Talcottville Rd, Vernon, CT 06066 | 2017-03-24 |
| 1558804070 | First Choice Health Centers, Inc. | Clinic/Center | 94 Union Sreet, 2nd Floor, Vernon, CT 06066 | 2016-12-01 |
| 1235685504 | Lotus Behavioral Consultation | Day Training, Developmentally Disabled Services | 3 Raymond Street, Vernon, CT 06066 | 2016-08-28 |
| 1891179537 | Heather Deal | Nurse Practitioner | 347 Hartford Turnpike, Vernon, CT 06066 | 2015-07-13 |
| Find all providers in zip 06066 | ||||
| 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 |
|---|---|---|---|---|
| 1972027225 | Yong Suel Park | Dentist | 292 Route 94, Vernon, NJ 07462-3181 | 2017-07-28 |
| 1225489859 | Mayank Chaliawala | Dentist | 35 Talcottville Rd Ste 21, Vernon, CT 06066-5261 | 2016-06-24 |
| 1851788350 | Alpha & Omega Dental of Nj, LLP | Dentist | 6 Church St., Vernon, NJ 07462 | 2015-04-22 |
| 1477970598 | Vernon Smiles, PC | Dentist | 4409 Hillcrest Dr., Vernon, TX 76384 | 2014-03-26 |
| 1356601678 | American Dental Associates Pllc | Dentist | 220 Hartford Turnpike, Vernon, CT 06066 | 2012-05-21 |
| 1770711707 | Ashkan Fahandej Saadi | Dentist | 125 South St Apt 300, Vernon, CT 06066-4441 | 2009-06-29 |
| 1710198734 | Harold A. Kadish | Dentist | 44 Hyde Ave, Vernon, CT 06066-4503 | 2007-05-24 |
| 1194942268 | Lee B. Harrison, D.d.s., P.C. | Dentist | 1620 Hillcrest Dr, Vernon, TX 76384-4053 | 2007-04-19 |
| 1326163288 | Donald John Mattucci Jr. | Dentist | 249 Route 94, Vernon, NJ 07462 | 2007-03-20 |
| 1194857110 | James Joel Lowry | Dentist | 2122 Texas St, Vernon, TX 76384-4452 | 2007-03-12 |
| Find all providers in VERNON | ||||
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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.