ROCKPORT FAMILY DENTAL PC (NPI# 1336562586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336562586 |
| Entity Type | Organization |
| Organization Name | ROCKPORT FAMILY DENTAL PC |
| Practice Address |
227 Main St Rockport MA 01966-2024 |
| Practice Telephone | 9785463020 |
| Mailing Telephone | 9785463020 |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-01-23 |
| Authorized Official Name | DONG WON KIM (OWNER) |
| Authorized Official Telephone | 9785463020 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 21536 | MA | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | ROCKPORT FAMILY DENTAL PC | 227 Main St., Rockport, MA 01966 |
| Street Address |
227 MAIN ST |
| City | ROCKPORT |
| State | MA |
| Zip Code | 01966-2024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568575934 | Jonas Rimvydas Gavelis | Dentist | 227 Main St, Rockport, MA 01966-2024 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962654079 | Barbara Joyce Kaplan | Speech-Language Pathologist | 4 Ocean Ave., Rockport, MA 01966 | 2008-10-21 |
| 1346422144 | Anita Pandolfe Ruchman | Registered Nurse | 9 High St Ct, Rockport, MA 01966 | 2007-12-04 |
| 1104945310 | Nancy Keefe Carbonneau | Physical Therapist | 45 Main Street Apt 7, Rockport, MA 01966 | 2007-03-28 |
| 1922194273 | Peter Oliver Cameron-gilsey | Social Worker | 5 Pioneer Circle, Rockport, MA 01966 | 2006-10-05 |
| 1497763924 | Lisbeth Jeanne Costa | Counselor | 4 Linwood Avenue, Rockport, MA 01966 | 2006-08-03 |
| 1538353065 | Patricia Vesey-mcgrew | Psychoanalyst | 85 Phillips Ave, Rockport, MA 01966-1037 | 2007-08-28 |
| 1760093157 | Laura Victoria Vanderburgh | Registered Nurse | 8 Gale Ave, Rockport, MA 01966-1134 | 2020-08-11 |
| 1609925049 | Joanna Quincy Duda | Registered Nurse | 24 Landmark Ln, Rockport, MA 01966-1239 | 2007-01-08 |
| 1649764424 | Mary Louise Cannon | Psychologist | 106r Granite St, Rockport, MA 01966-1241 | 2018-06-15 |
| 1336243807 | Victoria B. Knowlton | Nurse Practitioner | 42 Curtis St, Rockport, MA 01966-1242 | 2006-09-12 |
| Find all providers in zip 01966 | ||||
| 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 |
|---|---|---|---|---|
| 1407120660 | Thomas Edward Hennes | Dentist | 210 Oak Bay St, Unit 1201, Rockport, TX 78382-6915 | 2012-03-05 |
| 1811106693 | David C Olivas | Dentist | 7 Harkness Brook Ln, Rockport, ME 04856 | 2007-05-21 |
| 1841357365 | Russell Sandfield | Dentist | 37 H Whistlestop Mall, Rockport, MA 01966-1437 | 2007-01-03 |
| 1063580637 | Daniel P Schecter | Dentist | 819 Commercial Street, Rockport, ME 04856 | 2006-12-01 |
| 1609952050 | Arnold H Braun | Dentist | 3430 W State Road 66, Rockport, IN 47635-9259 | 2006-10-28 |
| 1134226277 | Camden Hills Dental Care LLC | Dentist | 10 Granite Way, 200 West Professional Offices, Rockport, ME 04856 | 2006-09-20 |
| 1033225891 | John Phillip Atkinson | Dentist | 559 Main St, Rockport, IN 47635-1429 | 2006-08-22 |
| 1073540936 | Jon Preston Romer | Dentist | 1406 Highway 35 N, Rockport, TX 78382-3329 | 2006-06-27 |
| 1255823043 | Benjamin Lacy | Dentist | 1060 Commercial St, Rockport, ME 04856-3801 | 2018-06-06 |
| 1861879702 | Applewood Dental, Pa | Dentist | 9 Applewood Rd, Rockport, ME 04856 | 2015-04-29 |
| Find all providers in ROCKPORT | ||||
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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.