ALISSA MARIANO (NPI# 1396107355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396107355 |
| Entity Type | Individual |
| Full Name | ALISSA MARIANO |
| Credential | DMD, FACP |
| Practice Address |
16 Gerrard Ave East Longmeadow MA 01028 |
| Mailing Address |
16 Gerrard Ave East Longmeadow MA 01028-1606 |
| Practice Telephone | 4137318814 |
| Mailing Telephone | 4137318814 |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2020-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
DN1857278 | MA | Dental Providers |
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
DN1857278 | MA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 466 Shawmut Ave, Apt 1, Boston, MA 021183836 | 4132503925 | |
| 50 Staniford St Fl 5, Boston, MA 021142517 | 6175235451 |
| Street Address |
16 GERRARD AVE |
| City | EAST LONGMEADOW |
| State | MA |
| Zip Code | 01028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902007057 | Rebecca Lynn Cohen | Dentist | 16 Gerrard Ave, East Longmeadow, MA 01028-1606 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174142509 | Golden Years Behavioral Health Group Inc. | Counselor | 16 Shaker Road, East Longmeadow, MA 01028 | 2020-04-15 |
| 1821518747 | Taylor Kirk | Social Worker | 138 Hampden Road, East Longmeadow, MA 01028 | 2017-06-21 |
| 1770039174 | Rebecca Bailey | Physician Assistant | 305a Maple Street, East Longmeadow, MA 01028 | 2016-08-26 |
| 1609261650 | New England Dental Care | Dentist | 132 Canterbury Circle, East Longmeadow, MA 01028 | 2015-04-06 |
| 1629394168 | Angela C Lamothe | Massage Therapist | 80 Center Square, East Longmeadow, MA 01028 | 2010-04-08 |
| 1588807648 | Maria De La Alhambra Gurd | Counselor | 294 N Main St Ste 101, East Longmeadow, MA 01028 | 2009-04-19 |
| 1861522302 | Arthur T Mcguire | Internal Medicine | 160 Pleasant St #307, Gastroenterology Assoc of Springfield, East Longmeadow, MA 01028 | 2007-03-06 |
| 1194874545 | Drs Scannell and Hollinger Inc | Dentist | 79 Maple Street, East Longmeadow, MA 01028 | 2007-01-08 |
| 1053468629 | Gina M Quinlivan | Advanced Practice Midwife | 382 N Main St Ste 205, East Longmeadow, MA 01028 | 2007-01-04 |
| 1609939784 | Belisa Ann Basile | Optometrist | 8 Center Square, E Longmeadow, MA 01028 | 2006-12-19 |
| Find all providers in zip 01028 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851035 | North Andover Dental Partners Pllc | Dentist | 451 Andover St Ste 208, North Andover, MA 01845-5070 | 2020-11-02 |
| 1699329797 | Jeffrey A. Harrison, Dmd, PC | Dentist | 258 Washington Street, Wellesley, MA 02481 | 2019-07-26 |
| 1104380526 | Sfrnsh LLC | Dentist | 209 Harvard St Ste 302, Brookline, MA 02446-5005 | 2019-01-30 |
| 1619446713 | Lexington Implant and Restorative Dentistry | Dentist | 803 Massachusetts Ave, Lexington, MA 02420-3918 | 2018-11-19 |
| 1154818359 | Lexington Smile Studio, PC | Dentist | 922 Waltham St Ste 202, Lexington, MA 02421-8019 | 2018-04-13 |
| 1184140139 | Georgetown Dental, P.C. | Dentist | 25 E Main St Ste 3, Georgetown, MA 01833-2007 | 2017-08-21 |
| 1922522747 | Prosthodontic Associates PC | Dentist | 50 Salem St., 3rd Floor, Lynnfield, MA 01940 | 2017-08-02 |
| 1952852063 | Thaisa Barizan Bordin | Dentist | 100 Morton St Apt 50, Boston, MA 02130-3754 | 2016-10-24 |
| 1326419524 | Brookline Dental Associates LLC | Dentist | 209 Harvard St Ste 502, Brookline, MA 02446-5005 | 2015-10-14 |
| 1316318686 | Outer Cape Dental Group, LLC | Dentist | 10 Cannon Hill Rd, South Wellfleet, MA 02663 | 2015-10-13 |
| Find all providers with the same taxonomy | ||||
| City | EAST LONGMEADOW |
| Zip Code | 01028 |
Please comment or provide details below to improve the information on ALISSA MARIANO.
| 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.