PATRICK J CONNELLY (NPI# 1457525883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457525883 |
| Entity Type | Individual |
| Full Name | PATRICK J CONNELLY |
| Credential | D.D.S. |
| Practice Address |
2101 Riverside Dr Beloit WI 53511-2932 |
| Practice Telephone | 6083654006 |
| Practice Fax Number | 6083654870 |
| Mailing Telephone | 6083654006 |
| Mailing Fax Number | 6083654870 |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5002049 | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33368100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306047782 | Patrick Connelly | Optometrist | Town Center Eye Care, 400 Barrett Parkway, Suite 297, Kennesaw, GA 30144-4958 | 2007-05-31 |
| 1659402691 | Patrick Ignatius Connelly | Psychologist | 85 Raritan Ave Ste 400, Highland Park, NJ 08904-2439 | 2007-03-09 |
| 1134225659 | Patrick Sean Connelly | Chiropractor | 42 W High St, East Hampton, CT 06424-1059 | 2006-09-15 |
| 1417016908 | Patrick R Connelly | Counselor | 3069 English Creek Ave, Suite 224, Egg Harbor Township, NJ 08234-9708 | 2006-12-08 |
| 1619965548 | Patrick Wellington Connelly | Obstetrics & Gynecology | 5300 S Sutter Dr, Suite 11, Show Low, AZ 85901-8050 | 2005-10-13 |
| 1144217951 | Patrick J Connelly | Pathology | 1 Wyoming St, Dayton, OH 45409-2722 | 2005-10-06 |
| Street Address |
2101 RIVERSIDE DR |
| City | BELOIT |
| State | WI |
| Zip Code | 53511-2932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417120379 | Timothy F Chapman | Dentist | 2101 Riverside Dr, Beloit, WI 53511-2932 | 2008-04-10 |
| 1053440412 | Gregory Thomas Messina | Dentist | 2101 Riverside Dr, Beloit, WI 53511-2932 | 2007-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738485 | Linda Lee Cook | Technician | 914 Cranston Rd., Beloit, WI 53511 | 2019-09-05 |
| 1033773734 | Holistic Counseling Services, LLC | Counselor | 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 | 2019-04-28 |
| 1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
| 1679091219 | Stacy Lynn Gallagher | Licensed Practical Nurse | 1060 Bittel St, Beloit, WI 53511 | 2017-09-04 |
| 1629448824 | Brenda Jean Allen | Registered Nurse | 2907 E. Leona Drive, Beloit, WI 53511 | 2015-09-30 |
| 1033595038 | Amber Noel Slaybaugh | Physical Therapist | 838 E. Azalea Ter., Beloit, WI 53511 | 2015-08-03 |
| 1407260326 | Quirt Family Dentistry, Sc | Dentist | 2777 Milwaukee Rd, Beloit, WI 53511 | 2014-06-18 |
| 1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
| 1629321658 | Sarah Ann Nelson | Physical Therapist | 1905 W. Hart Road, Beloit, WI 53511 | 2012-10-15 |
| 1235494212 | Mary Ann Hudson | Nurse Practitioner | 700 College Street, Beloit College, Beloit, WI 53511 | 2012-07-06 |
| Find all providers in zip 53511 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902066038 | Nicole Renee Vossen | Dentist | 1800 Huebbe Pkwy, Beloit, WI 53511 | 2008-06-12 |
| 1366561037 | Steven Warren Hough | Dentist | 1800 E Huebbe Pkwy, Beloit, WI 53511-1722 | 2007-03-27 |
| 1124198924 | Ken Johnson | Dentist | 918 E Park Avenue Plz, Beloit, WI 53511-1753 | 2006-11-09 |
| 1215030804 | Drs Chapman & Connelly Dds Sc | Dentist | 2101 Riverside Drive, Beloit, WI 53511-2932 | 2006-09-07 |
| 1659480150 | James Caldwell Bursinger | Dentist | 2797 Prairie Ave, Suite 24, Beloit, WI 53511-2288 | 2006-08-29 |
| 1841503455 | Wael Roumani | Dentist | 74 Eclipse Ctr, Beloit, WI 53511 | 2010-07-24 |
| 1457527103 | Community Health Systems, Inc. | Dentist | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2008-05-02 |
| 1801062559 | Community Health Systems, Inc. | Dentist | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2008-05-02 |
| 1417120379 | Timothy F Chapman | Dentist | 2101 Riverside Dr, Beloit, WI 53511-2932 | 2008-04-10 |
| 1053440412 | Gregory Thomas Messina | Dentist | 2101 Riverside Dr, Beloit, WI 53511-2932 | 2007-03-03 |
| Find all providers in BELOIT | ||||
Please comment or provide details below to improve the information on PATRICK J CONNELLY.
| 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.