STACY NADEEN BUTLER (NPI# 1396741658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396741658 |
| Entity Type | Individual |
| Full Name | STACY NADEEN BUTLER |
| Credential | DDS |
| Practice Address |
165 Miller St Meriden CT 06450-4256 |
| Mailing Address |
44 Schoolhouse Xing Wethersfield CT 06109-1339 |
| Practice Telephone | 2036393500 |
| Practice Fax Number | 2036393509 |
| Mailing Telephone | 8602570488 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
008526 | CT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225246622 | Stacy Colombo Butler | Obstetrics & Gynecology | 6100 Harris Pkwy Ste 140, Fort Worth, TX 76132-4130 | 2007-05-18 |
| 1659799385 | Stacy Butler | Obstetrics & Gynecology | 545 Ne 47th Ave Ste 102, Portland, OR 97213-2237 | 2014-03-31 |
| 1205137791 | Stacy A. Butler | Counselor | 515 28 3/4 Rd, Grand Junction, CO 81501-5016 | 2010-11-15 |
| 1265746622 | Stacy Butler | Pharmacist | 388 Uvalde Rd, Houston, TX 77015-2213 | 2010-07-28 |
| Street Address |
165 MILLER ST |
| City | MERIDEN |
| State | CT |
| Zip Code | 06450-4256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942751342 | Miranda Green | Dental Hygienist | 165 Miller St, Meriden, CT 06450-4256 | 2016-10-20 |
| 1902295660 | Delbert Smith | Family Medicine | 165 Miller St, Meriden, CT 06450-4256 | 2015-01-20 |
| 1992988893 | Steve Rodriguez | Dental Hygienist | 165 Miller St, Meriden, CT 06450-4256 | 2007-12-13 |
| 1134223837 | City of Meriden | Public Health or Welfare | 165 Miller St, Meriden, CT 06450-4256 | 2006-09-12 |
| 1952303885 | Sheela Tummala | Dentist | 165 Miller St, 2nd Floor, Meriden, CT 06450-4256 | 2005-08-11 |
| 1972501195 | Vasiliki Hatzgiannis | Dentist | 165 Miller St, Meriden, CT 06450-4256 | 2005-07-12 |
| 1942207022 | Amita Kulkarni | Dentist | 165 Miller St, Meriden, CT 06450-4256 | 2005-07-05 |
| 1295731909 | City of Meriden-health Departmetn | Legal Medicine | 165 Miller St, Meriden, CT 06450-4256 | 2005-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861056525 | Oak Counseling Services LLC | Counselor | Oak Counseling Services, LLC, 97 East Main St. (suite 1h), Meriden, CT 06450 | 2019-04-29 |
| 1467969253 | Midstate Arc | Day Training, Developmentally Disabled Services | 200 Research Pkwy, Meriden, CT 06450 | 2018-01-03 |
| 1144674672 | Felistas Mazhandu | Nurse Practitioner | 53 Church Hill Chase, Meriden, CT 06450 | 2016-04-21 |
| 1639557390 | D J Park PC | Dentist | 490-19 South Broad Street, Meriden, CT 06450 | 2015-05-14 |
| 1912393844 | Elliott Lacki | Psychologist | 1355 N Broad St, Meriden, CT 06450 | 2015-04-07 |
| 1124379797 | Jamie Anne Gargano | Social Worker | 538 Preston Avenue, Meriden, CT 06450 | 2012-09-24 |
| 1760738025 | Psychologist Adriana L Gonzalez Phd Pllc | Clinic/Center | 85 Hillcrest Terrace, Meriden, CT 06450 | 2012-07-24 |
| 1174888622 | Dong Jin Park | Dentist | 490 S Broad St, Meriden, CT 06450 | 2012-07-11 |
| 1710253182 | Adriana Laura Gonzalez | Psychologist | 85 Hillcrest Ter, Meriden, CT 06450 | 2012-03-29 |
| 1285864199 | Crystal Ann Herdman | Occupational Therapist | 33 Cone Avenue, Meriden, CT 06450 | 2009-07-27 |
| Find all providers in zip 06450 | ||||
| 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 |
|---|---|---|---|---|
| 1639557390 | D J Park PC | Dentist | 490-19 South Broad Street, Meriden, CT 06450 | 2015-05-14 |
| 1023350568 | Apple Dental and Associates,llc | Dentist | 566 W Main St, Unit D, Meriden, CT 06451-2791 | 2013-03-22 |
| 1275713216 | Alokh Persha | Dentist | 490-19 South Broadway St, Aspen Dental, Meriden, CT 06450-0000 | 2007-11-07 |
| 1548482094 | Sklad Enterprises Inc. | Dentist | 196 East Main St, Meriden, CT 06450 | 2007-05-03 |
| 1871615674 | Mark S Burwick | Dentist | 12 Curtis Street, Suite 14, Meriden, CT 06450 | 2007-04-04 |
| 1275609851 | Sheila Poetti | Dentist | 1064 E Main St Ste 102, Meriden, CT 06450-4898 | 2006-11-27 |
| 1376628859 | David Keith Hergott | Dentist | 166 S Broad St, Meriden, CT 06450-6524 | 2006-10-25 |
| 1457431033 | Miguel Rafael Vega | Dentist | 164 Scott St Ste 5, Meriden, CT 06450-7281 | 2006-10-17 |
| 1467557967 | Loyd Allan Davis | Dentist | 196 E Main St, Meriden, CT 06450-5607 | 2006-09-13 |
| 1114946357 | Dr. Kevin P. Langan, Dmd & Dr. Kevin S. Frank, Dmd, LLC | Dentist | 35 Pleasant St, Suite 2d, Meriden, CT 06450-5786 | 2006-07-19 |
| Find all providers in MERIDEN | ||||
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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.