DR. JESSE MICHAEL SORRENTINO (NPI# 1427367820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427367820 |
| Entity Type | Individual |
| Full Name | DR. JESSE MICHAEL SORRENTINO |
| Credential | D.D.S. |
| Practice Address |
291 Farmington Ave Farmington CT 06032-1925 |
| Practice Telephone | 8606778747 |
| Mailing Telephone | 8606778747 |
| Enumeration Date | 2010-10-02 |
| Last Update Date | 2010-10-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
0551681 | NY | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
010130 | CT | Dental Providers |
| Street Address |
291 FARMINGTON AVE |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032-1925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285651133 | Connecticut Maxillofacial Surgeons, LLC | Dentist | 291 Farmington Ave, Farmington, CT 06032-1925 | 2006-07-16 |
| 1760863591 | Katherine Calvert Grosso | Dentist | 291 Farmington Ave, Farmington, CT 06032-1925 | 2015-06-17 |
| 1659682979 | Nathan Eldon Mumford | Dentist | 291 Farmington Ave, Farmington, CT 06032-1925 | 2010-07-01 |
| 1689826505 | Walter C Schiller | Dentist | 291 Farmington Ave, Farmington, CT 06032-1925 | 2008-10-22 |
| 1992957815 | Robert S Hall | Dentist | 291 Farmington Ave, Farmington, CT 06032-1925 | 2008-10-22 |
| 1699927517 | Charles R Chiarello | Dentist | 291 Farmington Ave, Farmington, CT 06032-1925 | 2008-10-22 |
| 1316199235 | Jason T Mielcarek | Dentist | 291 Farmington Ave, Farmington, CT 06032-1925 | 2008-10-22 |
| 1518119437 | Thomas J Mensi | Dentist | 291 Farmington Ave, Farmington, CT 06032-1925 | 2008-10-22 |
| 1235381153 | Robert Steven Hall Jr. | Dentist | 291 Farmington Ave, Farmington, CT 06032-1925 | 2008-10-22 |
| 1215149596 | John A Bierly Dmd and Peter J Peterson Dmd, PC | Dentist | 291 Farmington Ave, Farmington, CT 06032-1925 | 2007-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508499435 | Kelsey Erin Boyne | Student in an Organized Health Care Education/Training Program | 200 Academic Way, Farmington, CT 06032 | 2020-02-19 |
| 1760024723 | Baliram Maraj | Dentist | 801 Plainville Ave., Farmington, CT 06032 | 2019-10-11 |
| 1770144958 | Dominique Feterman Jimenez | Student in an Organized Health Care Education/Training Program | Internal Medicine Associates Outpatient Pavilion 2 West, 263 Farmington Avenue, Farmington, CT 06032 | 2019-06-27 |
| 1033770698 | Tiffany Otto | Nurse Practitioner | 27o Farmington Avenue, # 309, Farmington, CT 06032 | 2019-06-25 |
| 1124683941 | Aleksandra M Sliwinska | Student in an Organized Health Care Education/Training Program | Uconn Health Im Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 | 2019-05-07 |
| 1922663889 | Sean Ag Harford | Student in an Organized Health Care Education/Training Program | Uconn Health - Internal Medicine Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 | 2019-05-07 |
| 1710450507 | Kathy Jean Campbell | Occupational Therapist | 10 Birdseye Rd, Farmington, CT 06032 | 2019-01-04 |
| 1790273373 | Cameron Seymour | Dentist | 291 Farmington Ave Ste 5, Farmington, CT 06032 | 2018-04-29 |
| 1881181790 | Robin L Shahverdian LLC | Counselor | 304 Main St Ste D428, Farmington, CT 06032 | 2018-04-16 |
| 1588160998 | Sight Sensory Rehabilitation Center, Pllc | Optometrist | 10 Birdseye Road, Farmington, CT 06032 | 2018-04-04 |
| Find all providers in zip 06032 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851614002 | Patricia I Diaz-moreno | Dentist | 263 Farmington Ave # Mc2820, Farmington, CT 06030-2820 | 2010-03-02 |
| 1427113976 | Frank C. Nichols | Dentist | 263 Farmington Ave # Mc-3905, Uconn School of Dental Medicine, Farmington, CT 06030-0001 | 2006-12-26 |
| 1760863591 | Katherine Calvert Grosso | Dentist | 291 Farmington Ave, Farmington, CT 06032-1925 | 2015-06-17 |
| 1760880355 | Namita Khandelwal | Dentist | 263 Farmington Ave, Farmington, CT 06030-2656 | 2014-12-12 |
| 1871830745 | A. Michael Brown | Dentist | 263 Farmington Ave, Farmington, CT 06030-0001 | 2013-01-11 |
| 1295995371 | Takanori Sobue | Dentist | 263 Farmington Ave, Farmington, CT 06030-1710 | 2008-06-12 |
| 1366646432 | Khalid Almas | Dentist | 263 Farmington Ave, University Dentists, Farmington, CT 06030-2820 | 2007-06-13 |
| 1790999761 | Anna Dongari-bagtzoglou | Dentist | 263 Farmington Avenue, University Dentists, Farmington, CT 06030-2820 | 2007-05-09 |
| 1215149596 | John A Bierly Dmd and Peter J Peterson Dmd, PC | Dentist | 291 Farmington Ave, Farmington, CT 06032-1925 | 2007-05-07 |
| 1962614636 | Efthimia Ioannidou | Dentist | 263 Farmington Avenue, University Dentists, Farmington, CT 06030-2820 | 2007-05-04 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 06032 |
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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.