DR. JOSEPH TERRY SIRACUSE (NPI# 1356451330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356451330 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH TERRY SIRACUSE |
| Credential | DMD |
| Practice Address |
265 Church St Ste 1003 New Haven CT 06510 |
| Mailing Address |
103 Plymouth Colony Branford CT 06405 |
| Practice Telephone | 2037776461 |
| Mailing Telephone | 2034837343 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
3625 | CT | Dental Providers |
| Street Address |
265 CHURCH ST STE 1003 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720187552 | Henry Philip Cohen | Dentist | 265 Church St, Ste 1003, New Haven, CT 06510 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757319 | Matthew Peter O'connell | Pharmacist | 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 | 2020-07-16 |
| 1477171460 | Huy Henry Le | Pharmacist | 20 York Street, Ps-ll, New Haven, CT 06510 | 2020-07-07 |
| 1144855263 | Daniel Jacobs | Student in an Organized Health Care Education/Training Program | 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 | 2020-03-09 |
| 1346898467 | Cem Cengiz | Internal Medicine | Tobb Etu Hastanesi, Yasam Cad. No.5 Sogutozu, Ankara, TURKEY 06510 | 2019-09-02 |
| 1295292290 | Emily Elizabeth Samuel | Counselor | 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 | 2019-02-26 |
| 1639652779 | Laura Goldblum | Social Worker | 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 | 2018-09-14 |
| 1477049138 | Joseph Lawrence Earles | Otolaryngology | Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 | 2018-07-06 |
| 1508356759 | Rebecca Anne Beagan | Student in an Organized Health Care Education/Training Program | 20 York Street- Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1104316405 | Emma Sophie Taylor-salmon | Student in an Organized Health Care Education/Training Program | 20 York Street - Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1376033563 | Wael S Ibrahim | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 | 2018-05-14 |
| Find all providers in zip 06510 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568603934 | Wolcott Street Dental-1, PC | Dentist | 531 Elm St, New Haven, CT 06511-4549 | 2009-03-16 |
| 1952595001 | Endodonticare, P.C. | Dentist | 1 Century Tower, 265 Church Street, New Haven, CT 06510-7013 | 2007-08-31 |
| 1275540916 | Yiming King | Dentist | 123 York St Ste 2c, New Haven, CT 06511-5660 | 2006-08-02 |
| 1720187552 | Henry Philip Cohen | Dentist | 265 Church St, Ste 1003, New Haven, CT 06510 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073041489 | Endodontic Solutions LLC | Dentist | 19 Ensign Dr, Avon, CT 06001-3705 | 2017-05-30 |
| 1871937359 | Lester C Reid | Dentist | 225 N Main St Ste 209, Bristol, CT 06010-4993 | 2013-04-26 |
| 1225399108 | Endodontic Specialists LLC | Dentist | 2 Chucrh St # 670, Ellington, CT 06029-0670 | 2012-06-06 |
| 1669751939 | Professional Endodontics Ll | Dentist | 70 Howard St, Suite B, New London, CT 06320-4937 | 2011-08-04 |
| 1538392170 | Wolcott Street Dental-2, PC | Dentist | 144 Boston Ave, Bridgeport, CT 06610-1604 | 2009-08-31 |
| 1134359623 | Wolcott Street Dental-2, PC | Dentist | 728 Wolcott Street, Waterbury, CT 06705 | 2009-07-20 |
| 1952548208 | Rachele Luciano | Dentist | 366 Middle Tpke W, Manchester, CT 06040-3824 | 2009-01-08 |
| 1912156514 | Care Endodontics, P.C. | Dentist | 436 Farmington Ave, Hartford, CT 06105-4423 | 2008-09-18 |
| 1295993269 | New England Dental | Dentist | 54 Main St # F, Danbury, CT 06810-3009 | 2008-05-27 |
| 1053587592 | Philip Ralph Mascia | Dentist | 360 Federal Rd, Brookfield, CT 06804-2426 | 2008-05-05 |
| Find all providers with the same taxonomy | ||||
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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.