DR. DIMITRI PERDIKIS (NPI# 1447479233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447479233 |
| Entity Type | Individual |
| Full Name | DR. DIMITRI PERDIKIS |
| Credential | D.D.S. |
| Practice Address |
820 Farmington Ave West Hartford CT 06119-1506 |
| Practice Telephone | 8602323211 |
| Practice Fax Number | 8602323211 |
| Mailing Telephone | 8602323211 |
| Mailing Fax Number | 8602323211 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
008809 | CT | Dental Providers |
| Street Address |
820 FARMINGTON AVE |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06119-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063957389 | Hannah Aliberti | Behavioral Analyst | 792 Farmington Ave, West Hartford, CT 06119 | 2016-12-21 |
| 1255752945 | Ctuc01 | Clinic/Center | 1030 Boulevard, West Hartford, CT 06119 | 2013-12-23 |
| 1962757088 | Arman Samad-zadeh | Dentist | 836 Farmington Ave Ste 115, West Hartford, CT 06119 | 2012-07-15 |
| 1356606123 | East West Obgyn | Obstetrics & Gynecology | 836 Farmington Ave. S. 211, West Hartford, CT 06119 | 2012-07-09 |
| 1285901314 | Onyeijen Mgbejume | Pharmacist | 674 Famington Avenue, West Hartford, CT 06119 | 2011-11-17 |
| 1134403553 | Cornelia F Sharrow | Social Worker | 17 South Highland St, West Hartford, CT 06119 | 2011-10-04 |
| 1952613218 | Lauren B Kopyt | Pediatrics | 785 Farmington Avenue, West Hartford, CT 06119 | 2010-07-02 |
| 1043542657 | Leticia Jacquet | Physical Therapist | 1022 Boulevard, #274, West Hartford, CT 06119 | 2010-02-06 |
| 1003051467 | Emily Bevelaqua Pellegrino | Music Therapist | 72 Maplewood Ave, West Hartford, CT 06119 | 2008-12-12 |
| 1124233473 | Theresa M Johnson | Counselor | 361 Park Rd, 3rd Fl, West Hurtford, CT 06119 | 2007-05-11 |
| Find all providers in zip 06119 | ||||
| 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 |
|---|---|---|---|---|
| 1669560454 | Keith J Ferro | Dentist | 10 Crossroads Plz, West Hartford, CT 06117-2470 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063802221 | Benjanin M Frank | Dentist | 105 A Newton Road, Suite 4, Danbury, CT 06810-1603 | 2015-01-27 |
| 1801133293 | Ajay Kumar Dhingra | Dentist | 263 Farmington Ave Rm L6053, Farmington, CT 06030-1615 | 2013-01-06 |
| 1093085144 | Joel M Leon | Dentist | 138 Milbank Ave, Greenwich, CT 06830-6626 | 2012-01-06 |
| 1477751758 | Guillermo Zapata | Dentist | 25 Glenbrook Rd, Apt. 534, Stamford, CT 06902-2871 | 2007-07-06 |
| 1366651663 | Gary Edward Horblitt | Dentist | 2226 Black Rock Tpke, Fairfield, CT 06825 | 2007-05-22 |
| 1831304930 | Andrew Joseph Ponichtera | Dentist | 373 Hopmeadow St, Weatogue, CT 06089-9717 | 2007-05-11 |
| 1326268020 | Ervin Braun | Dentist | 24 Old Kings Hwy S, Darien, CT 06820-4537 | 2007-04-26 |
| 1699822155 | Diane Elizabeth Gawronski | Dentist | 14 Westbrook Rd, Centerbrook, CT 06409 | 2007-01-05 |
| 1346305802 | Thomas D. Taylor | Dentist | Uconn Health Ctr, 263 Farmington Avenue, Mc-3915, Farmington, CT 06030-3915 | 2006-12-26 |
| 1407926041 | Khanitha Tangnavarad | Dentist | 1 Strawberry Hill Court, Stamford, CT 06902 | 2006-11-09 |
| Find all providers with the same taxonomy | ||||
| City | WEST HARTFORD |
| Zip Code | 06119 |
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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.