JOEL LAWRENCE ROSENLICHT (NPI# 1295744118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295744118 |
| Entity Type | Individual |
| Full Name | JOEL LAWRENCE ROSENLICHT |
| Credential | DMD |
| Practice Address |
483 Middle Tpke W Manchester CT 06040-3863 |
| Mailing Address |
483 Middle Tunrpike West Manchester CT 06040-1926 |
| Practice Telephone | 8606492272 |
| Practice Fax Number | 8605331010 |
| Mailing Telephone | 8606492272 |
| Mailing Fax Number | 8605331010 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
005324 | CT | Dental Providers |
| Street Address |
483 MIDDLE TPKE W |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-3863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093746935 | Thomas Thalody | Dentist | 483 Middle Tpke W, Manchester, CT 06040-3863 | 2006-07-06 |
| 1811387863 | Ryaz Ansari LLC | Clinic/Center | 483 Middle Tpke W, Manchester, CT 06040-3863 | 2015-01-29 |
| 1124441167 | Jaeho Chae | Dentist | 483 Middle Tpke W, Manchester, CT 06040-3863 | 2014-01-28 |
| 1700207107 | Paradigm Chiropractic and Functional Medicine, Inc | Chiropractor | 483 Middle Tpke W, Manchester, CT 06040-3863 | 2014-01-02 |
| 1316227507 | Gloria Jean Hodgson-brooks | Social Worker | 483 Middle Tpke W, 217, Manchester, CT 06040-3863 | 2011-08-19 |
| 1134443732 | Maryam Rostami | Dentist | 483 Middle Tpke W, Unit 309, Manchester, CT 06040-3863 | 2010-03-25 |
| 1073741104 | Ramzi Hindieh | Dentist | 483 Middle Tpke W, Suite 309, Manchester, CT 06040-3863 | 2009-06-26 |
| 1477707081 | Rosenlicht Surgery Center | Dentist | 483 Middle Tpke W, Suite 102, Manchester, CT 06040-3863 | 2008-11-10 |
| 1518142538 | Loren J. Schneider, Dpm PC | Podiatrist | 483 Middle Tpke W, Manchester, CT 06040-3863 | 2008-01-09 |
| 1396949673 | Robert M Mirer | Dentist | 483 Middle Tpke W, Manchester, CT 06040-3863 | 2007-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
| Find all providers in zip 06040 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871649780 | Mark D Abel | Dentist | 27 Sagamore St, Manchester, NH 03104-3547 | 2007-01-25 |
| 1205197647 | Matthew Nichols Dds Oral and Facial Surgery Pllc | Dentist | 1425 Mcarthur St, Manchester, TN 37355-2517 | 2012-06-01 |
| 1477707081 | Rosenlicht Surgery Center | Dentist | 483 Middle Tpke W, Suite 102, Manchester, CT 06040-3863 | 2008-11-10 |
| 1417114687 | North Manchester Oral and Maxillofacial Surgery, Pllc | Dentist | 27 Sagamore St, Manchester, NH 03104-3547 | 2008-05-16 |
| 1760659544 | Gopi K. Voonna | Dentist | 1 Elliot Way, Manchester, NH 03103-3502 | 2008-05-12 |
| 1174736920 | Prindiville, Peracchio & Saunders, Dmd PC | Dentist | 945 Main St, Suite 310, Manchester, CT 06040-6064 | 2007-05-08 |
| 1407984412 | Kimberlyn Darlene Fowler | Dentist | 555 Auburn St, Manchester, NH 03103 | 2007-03-01 |
| 1922105352 | John Charles Mccabe | Dentist | 483 W Middle Tpke, Ste-200, Manchester, CT 06040 | 2006-09-20 |
| 1497774152 | Ryaz Ansari | Dentist | 483 Middle Tpke W, Suite 102, Manchester, CT 06040-3863 | 2006-07-19 |
| 1457316473 | William P Dobbin | Dentist | 4 Elliot Way, Manchester, NH 03103-3547 | 2006-04-20 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06040 |
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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.