FARMINGTON VALLEY ORTHODONTIC ASSOCIATES (NPI# 1467555995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467555995 |
| Entity Type | Organization |
| Organization Name | FARMINGTON VALLEY ORTHODONTIC ASSOCIATES |
| Practice Address |
20 West Avon Road Suite 102 Avon CT 06001 |
| Practice Telephone | 8606736105 |
| Practice Fax Number | 8606736111 |
| Mailing Telephone | 8606736105 |
| Mailing Fax Number | 8606736111 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PHILIP J DEPASQUALE (OWNER PARTNER ORTHODONTIST) |
| Authorized Official Telephone | 8606736105 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
4410 | CT | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
6213 | CT | Dental Providers |
| Street Address |
20 WEST AVON ROAD SUITE 102 |
| City | AVON |
| State | CT |
| Zip Code | 06001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285247338 | Alledran Med LLC | Durable Medical Equipment & Medical Supplies | 47 Avonwood Road, Unit #218, Avon, CT 06001 | 2020-08-28 |
| 1265053391 | 001care Inc | In Home Supportive Care | 20 Tower Lane, Avon, CT 06001 | 2020-04-29 |
| 1649813783 | Peoplesdental, P.C. | Dentist | 20 W Avon Rd Ste 104, Avon, CT 06001 | 2019-10-22 |
| 1740822063 | I E Consulting, LLC | Home Health | 1-5 East Main Street, Avon, CT 06001 | 2019-10-09 |
| 1598324261 | Prima Labs, LLC | Orthopaedic Surgery | Dr. Alexandra 58, Kezmarok, SLOVAKIA 06001 | 2019-06-06 |
| 1194220996 | Theresa L. Hixson | Social Worker | 152 Simsbury Rd., Building 9, Avon, CT 06001 | 2018-03-26 |
| 1851809974 | Kathleen Ann Subasic | Occupational Therapist | 19 Stockbridge Dr, Avon, CT 06001 | 2018-01-11 |
| 1801254297 | Vanessa Brodie | Psychologist | 395 W Avon Rd Ste 1, Avon, CT 06001 | 2016-02-01 |
| 1346614468 | Bryan Lilley | Physical Therapist | 34 Dale Rd., 202, Avon, CT 06001 | 2015-12-01 |
| 1073947446 | Rahel K. Saroff Counseling Services LLC | Counselor | 7 Towpath Lane, Avon, CT 06001 | 2013-08-21 |
| Find all providers in zip 06001 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255860607 | Jonathan Lambert | Dentist | 110 N Avon Ave B, Avon, IN 46123 | 2017-06-08 |
| 1902272313 | Gretter Hannah | Dentist | 110b N Avon Ave, Avon, IN 46123-8475 | 2015-08-19 |
| 1154753689 | Carly Anne Ahlbrecht | Dentist | 110 N State Road 267 Ste B, Avon, IN 46123-8475 | 2013-08-07 |
| 1356613228 | Adelina M Das | Dentist | 296 Country Club Rd, Bldg A, Avon, CT 06001-2546 | 2012-02-07 |
| 1700067261 | Dental Health Associates of Indiana | Dentist | 110b North Avon Avenue, Avon, IN 46123 | 2007-11-26 |
| 1891853990 | Brian W Benedict | Dentist | 110-b North State Road 267, Avon, IN 46123-8475 | 2006-12-04 |
| 1235239419 | Andrew J Kuhlberg | Dentist | 70 W Avon Rd, Avon, CT 06001-3517 | 2006-09-25 |
| 1023503877 | Bbb of In, LLC | Dentist | 110b N Avon Ave, Avon, IN 46123-8475 | 2018-06-25 |
| 1407168685 | Christopher A Murphy | Dentist | 70 W Avon Rd, Avon, CT 06001-3517 | 2010-07-05 |
| 1912184268 | Charissa Katzan Mccune | Dentist | 36855 American Way Ste C, Avon, OH 44011-4059 | 2008-01-29 |
| Find all providers in AVON | ||||
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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.