SUJATA PRADHAN-PECK (NPI# 1285912410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285912410 |
| Entity Type | Individual |
| Full Name | SUJATA PRADHAN-PECK |
| Practice Address |
24 Grassy Plain St Bethel CT 06801-1700 |
| Practice Telephone | 2036165786 |
| Mailing Telephone | 2036165786 |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2015-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 010774 | CT | Dental Providers |
| N | 122300000X | Dentist | 019028782 | IL | Dental Providers |
| Street Address |
24 GRASSY PLAIN ST |
| City | BETHEL |
| State | CT |
| Zip Code | 06801-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215158605 | Keith Allen Erwin I | Chiropractor | 24 Grassy Plain St, Bethel, CT 06801-1700 | 2007-05-01 |
| 1679960280 | Elite Dental Care | Dentist | 24 Grassy Plain St, Bethel, CT 06801-1700 | 2015-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235669805 | Turning Point Medical | Durable Medical Equipment & Medical Supplies | 211 Greenwood Ave 2-2, Num 147, Bethel, CT 06801 | 2017-06-15 |
| 1861800625 | Barbara Kelly, Lpc | Counselor | 153 Greenwich Avenue, Barbara Kelly, Lpc, Bethel, CT 06801 | 2014-07-24 |
| 1104114545 | Lisa Anne Pottasch | Clinical Nurse Specialist | 4berkshire Boulevard, Ability Beyond Disability, Bethel, CT 06801 | 2011-07-19 |
| 1194018671 | Hilary Norman | Physical Therapist | 13 Parklawn Drive, Bethel, CT 06801 | 2011-05-17 |
| 1215247077 | Michael Thomas Murphy | Chiropractor | 182 Grassy Plain Street, Bethel, CT 06801 | 2010-10-14 |
| 1437315751 | Bethel Vol Fire Dept | Ambulance | 36-40 South St, Bethel, CT 06801 | 2008-08-06 |
| 1023212032 | Village Square Internal Medicine PC | Internal Medicine | 2 Elizabeth Street, Bethel, CT 06801 | 2007-06-13 |
| 1376688655 | Big Y Foods, Inc. | Durable Medical Equipment & Medical Supplies | 81 Stony Hill Road, Bethel, CT 06801 | 2007-02-21 |
| 1538249164 | Holly Amber Suriano | Occupational Therapist | 121 Codfish Hill Rd, Bethel, CT 06801 | 2006-10-17 |
| 1659482719 | Dr Russell D Caram & Associates PC | Chiropractor | 182 Grassy Plain St, Bethel, CT 06801 | 2006-08-31 |
| Find all providers in zip 06801 | ||||
| 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 |
|---|---|---|---|---|
| 1962746750 | Caleb William Stuebing | Dentist | 700 Chief Eddie Hoffman Highway., Bethel, AK 99559 | 2012-11-16 |
| 1235422015 | Suzanne Eberling | Dentist | 610 Akiachak Drive, Bethel, AK 99559 | 2011-05-26 |
| 1952620288 | Ryan David Budde | Dentist | 185 Hoffman Rd, Bethel, AK 99559 | 2010-05-26 |
| 1255538112 | Jonathan B Knapp | Dentist | 1 Diamond Ave, Bethel, CT 06801-1801 | 2007-07-02 |
| 1104948884 | Edwin Henry Allgair Jr. | Dentist | 660 Third Ave Ste C, Bethel, AK 99559-0169 | 2007-04-04 |
| 1104945443 | Matthew J West | Dentist | 829 Cheif Eddie Hoffman Hwy, Bethel, AK 99559-0528 | 2007-03-28 |
| 1528020567 | Michael J Minarchek | Dentist | 420 West Plane St, Bethel, OH 45106 | 2006-04-05 |
| 1851853618 | Stony Hill Dental Care Pllc | Dentist | 76 Stony Hill Rd, Bethel, CT 06801-3055 | 2019-04-02 |
| 1538658398 | Kameron Shea Zimin | Dentist | 528 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2018-05-08 |
| 1386169464 | David Humphrey | Dentist | 700 Chief Eddie Hoffman, Bethel, AK 99559 | 2017-08-09 |
| Find all providers in BETHEL | ||||
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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.