MICHAEL DENTAL OF CLINTON, LLC (NPI# 1437766276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437766276 |
| Entity Type | Organization |
| Organization Name | MICHAEL DENTAL OF CLINTON, LLC |
| Practice Address |
37 Commerce St Clinton CT 06413-2054 |
| Practice Telephone | 8606695777 |
| Mailing Telephone | 8606695777 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |
| Authorized Official Name | DR. STACEY MICHAEL (OWNER DENTIST) |
| Authorized Official Telephone | 8606695777 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
37 COMMERCE ST |
| City | CLINTON |
| State | CT |
| Zip Code | 06413-2054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497964373 | Parul Shah | Dentist | 37 Commerce St, Clinton, CT 06413-2054 | 2007-05-21 |
| 1548415557 | Stacey Christine Michael | Dentist | 37 Commerce St, Clinton, CT 06413-2054 | 2008-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609358050 | Fallon Callahan | Pharmacist | 136 Samson Rock Drive, Madison, CT 06413 | 2018-09-02 |
| 1659814366 | A Behavioral Apporach | Behavioral Analyst | 4 Laconia Dr, Clinton, CT 06413 | 2016-11-29 |
| 1255786638 | The Vogl Program | Early Intervention Provider Agency | 15 Hammock Pkwy, Clinton, CT 06413 | 2016-05-04 |
| 1508048356 | Dr. Andrew M. Berliner | Podiatrist | 246 East Main Street, Suite 2, Clinton, CT 06413 | 2007-12-04 |
| 1306067624 | Julia S Tucker | Marriage & Family Therapist | 162 B East Main Street, Clinton, CT 06413 | 2007-05-02 |
| 1710012497 | Kevin M O'connell | Dentist | 149-4 East Main Street, Clinton, CT 06413 | 2007-02-22 |
| 1215099411 | Edward I Winokur Md | Family Medicine | 27 Commerce Street, Clinton, CT 06413 | 2006-12-14 |
| 1366518904 | Catherine L Alder | Social Worker | 12 Bargate Road, Clinton, CT 06413 | 2006-11-27 |
| 1033282306 | Child & Adult Orthodontics PC | Dentist | 248 East Main St, Clinton, CT 06413 | 2006-11-16 |
| 1780783738 | Kenneth Steven Wein | Nurse Anesthetist, Certified Registered | 8 Osprey Com, Clinton, CT 06413 | 2006-09-22 |
| Find all providers in zip 06413 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922662840 | Smile Care Pllc | Clinic/Center | 14555 Hellgate Ln, Clinton, MT 59825-9715 | 2019-04-25 |
| 1437599735 | Lovely Dental P.C. | Clinic/Center | 400 N Hicks St, Clinton, TN 37716-2970 | 2013-07-01 |
| 1932371606 | Theodore B. Thomas,iii,dds,p.a. | Clinic/Center | 450 Mckoy St, Clinton, NC 28328-2844 | 2008-04-02 |
| 1720125842 | Jan M Rizzo Dds PC | Clinic/Center | 147 West Michigan Avenue, Clinton, MI 49236 | 2007-01-30 |
| 1922625706 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 465 Medical Center Pkwy, Clinton, AR 72031-7946 | 2020-06-29 |
| 1356991186 | Scott & Oremosu Dds Associates,pllc | Clinic/Center | 450 Mckoy St, Clinton, NC 28328-2844 | 2019-09-13 |
| 1497312771 | Clinton Braces | Clinic/Center | 6306 Kirby Rd, Clinton, MD 20735-1336 | 2019-05-22 |
| 1790257921 | Compass Health, Inc. | Clinic/Center | 2000 N Gaines Dr, Clinton, MO 64735-1132 | 2018-12-28 |
| 1225504533 | Washington Family Dental Center | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735-2555 | 2018-10-15 |
| 1457854333 | Nicholas J Pelachyk Dds PC | Clinic/Center | 301 W Franklin St, Clinton, MI 49236-9744 | 2018-03-16 |
| Find all providers in CLINTON | ||||
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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.