C&S FAMILY DENTAL WATERBURY, LLC (NPI# 1306346457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306346457 |
| Entity Type | Organization |
| Organization Name | C&S FAMILY DENTAL WATERBURY, LLC |
| Practice Address |
1630 Watertown Ave Waterbury CT 06708 |
| Practice Telephone | 4756893170 |
| Practice Fax Number | 4756893190 |
| Mailing Telephone | 4756893170 |
| Mailing Fax Number | 4756893190 |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-02-15 |
| Authorized Official Name | BOHUN CHOI (DENTIST) |
| Authorized Official Telephone | 8602932000 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
11234 | CT | Dental Providers |
| Street Address |
1630 WATERTOWN AVE |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| 1356789267 | Diana Martone | Occupational Therapist | 77 Parklawn Dr, Waterbury, CT 06708 | 2013-06-13 |
| Find all providers in zip 06708 | ||||
| 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 |
|---|---|---|---|---|
| 1831758754 | Ivette Lora | Dentist | 3670 E Main St Ste 10, Waterbury, CT 06705-3871 | 2019-06-13 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1093161234 | Smile and Shine Dental, LLC | Dentist | 158 Manor Avenue, Waterbury, CT 06705-1206 | 2016-05-06 |
| 1639550577 | Barbara Anne Graham | Dentist | 738 Wolcott St, Waterbury, CT 06705-1336 | 2015-06-16 |
| 1528403177 | Daniel G. Brennan | Dentist | 2457 East Main St, Waterbury, CT 06705 | 2013-05-08 |
| 1255670816 | Lon Polverari | Dentist | 835 Wolcott St, Waterbury, CT 06705-1315 | 2013-02-01 |
| 1568700920 | Brass City Dentistry | Dentist | 3670 E Main St, Suite 10, Waterbury, CT 06705-3851 | 2013-01-19 |
| 1821344532 | Sumit Sehgal | Dentist | 133 Scovill St Ste 213, Waterbury, CT 06706-1127 | 2012-07-31 |
| 1346559499 | Roman Shamuelov | Dentist | 1127 West Main Street, Waterbury, CT 06708 | 2010-10-06 |
| 1871827840 | Hyesuk Oh | Dentist | 495 Union St Ste 1016, Waterbury, CT 06706-1293 | 2009-09-23 |
| Find all providers in WATERBURY | ||||
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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.