DR. STEVEN MARK BRODY (NPI# 1518057389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518057389 |
Entity Type | Individual |
Full Name | DR. STEVEN MARK BRODY |
Credential | D.D.S. |
Practice Address |
23 Maple Ave Greenwich CT 06830-5620 |
Practice Telephone | 2036615858 |
Practice Fax Number | 2036611159 |
Mailing Telephone | 2036615858 |
Mailing Fax Number | 2036611159 |
Enumeration Date | 2006-10-13 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
033181 | NY | Dental Providers |
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
6237 | CT | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871036905 | Steven Brody | Marriage & Family Therapist | 9654 Mardelle Way, Elk Grove, CA 95624-2431 | 2016-11-21 |
1215412234 | Steven Brody | Physical Therapist | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2018-09-25 |
1265558266 | Steven Andrew Brody | Internal Medicine | 8899 University Center Ln, Suite 100, San Diego, CA 92122-1013 | 2007-03-21 |
1386662880 | Steven L Brody | Internal Medicine | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2006-07-17 |
Street Address |
23 MAPLE AVE |
City | GREENWICH |
State | CT |
Zip Code | 06830-5620 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649298944 | Thomas Benedict Wilson I | Dentist | 23 Maple Ave, Greenwich, CT 06830-5620 | 2006-07-17 |
1922378678 | Maia B Weed | Nurse Practitioner | 23 Maple Ave, Greenwich, CT 06830-5620 | 2012-01-11 |
1871871103 | Silvi George | Nurse Practitioner | 23 Maple Ave, Greenwich, CT 06830-5620 | 2011-08-03 |
1386979565 | James P Orphanos | Clinic/Center | 23 Maple Ave, Greenwich, CT 06830-5620 | 2009-10-06 |
1073633426 | Greenwich Oral and Maxillofacial Surgery Associates, P.C. | Dentist | 23 Maple Ave, Greenwich, CT 06830-5620 | 2007-03-30 |
1255421012 | Joseph Francis Wallace IIi | Dentist | 23 Maple Ave, Greenwich, CT 06830-5620 | 2006-10-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992303341 | Cristina Castagna | Physical Therapist | 500 West Putnam Ave, 3rd Floor, Greenwich, CT 06830 | 2020-10-16 |
1194334334 | Cognitive and Behavioral Care Center, LLC | Counselor | 55 Old Post Road #2, Suite 2c, Greenwich, CT 06830 | 2020-07-23 |
1245866433 | Barbara Edeson Roth | Speech-Language Pathologist | The Nathaniel Witherell Home, 70 Parsonage Road, Greenwich, CT 06830 | 2020-03-19 |
1750938932 | Evelyn Ramos | Licensed Practical Nurse | 111 Wilbur Peck Ct, Greenwich, CT 06830 | 2019-08-21 |
1134773674 | Alexandra Blair Conway | Psychologist | 55 Holly Hill Lane Suite 170, Greenwich, CT 06830 | 2019-08-01 |
1821560871 | Brionna Emily Lyles | Licensed Practical Nurse | 111 Wilbur Court, Greenwich, CT 06830 | 2018-12-31 |
1568959815 | Backcountry Wellness Inc. | Social Worker | 7 Lincoln Avenue, Greenwich, CT 06830 | 2018-04-21 |
1316455876 | Hillary Rea Bercovici | Counselor | 8 Sound Shore Dr Ste 130, Greenwich, CT 06830 | 2018-01-18 |
1689181083 | Coastal Eye Surgeons LLC | Ophthalmology | 600 W Putnam Ave Lowr Level, Greenwich, CT 06830 | 2018-01-07 |
1952853814 | Tina M. Crystal | Psychologist | 75 Holly Hill Lane, Suite 300, Greenwich, CT 06830 | 2016-10-26 |
Find all providers in zip 06830 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114231909 | Oral Surgery Associates | Dentist | 2653 State Route 40, Greenwich, NY 12834-2303 | 2010-08-04 |
1649298944 | Thomas Benedict Wilson I | Dentist | 23 Maple Ave, Greenwich, CT 06830-5620 | 2006-07-17 |
1073633426 | Greenwich Oral and Maxillofacial Surgery Associates, P.C. | Dentist | 23 Maple Ave, Greenwich, CT 06830-5620 | 2007-03-30 |
1255421012 | Joseph Francis Wallace IIi | Dentist | 23 Maple Ave, Greenwich, CT 06830-5620 | 2006-10-13 |
1215929286 | Michele Shoshana Bergen | Dentist | 49 Lake Ave, Greenwich, CT 06830-4501 | 2005-08-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053951350 | Connecticut Oral Surgery and Implant Center, Pllc | Dentist | 314 Flanders Rd Ste 1b, East Lyme, CT 06333-1727 | 2020-01-14 |
1952898025 | Premier Oral Surgery and Implantology Center LLC | Dentist | 411 Barnum Avenue Cutoff Ste 5, Stratford, CT 06614-5100 | 2018-04-15 |
1629595145 | Gary Fishbein Dmd LLC | Dentist | 281 Hartford Tpke Ste 307, Vernon, CT 06066-4707 | 2017-08-25 |
1912428160 | Gm Surgical Associates LLC | Dentist | 130 New London Tpke Ste 3, Norwich, CT 06360-2624 | 2017-06-28 |
1861920068 | Mofs-ct Oral Facial Surgery LLC | Dentist | 1 Boulder Ave, Old Greenwich, CT 06870-1420 | 2017-06-01 |
1881034262 | Christy Lottinger | Dentist | 263 Farmington Ave # Mc1710, Farmington, CT 06030-1267 | 2013-06-28 |
1558618025 | Priceless Dental Care P.C. | Dentist | 60 Waterbury Rd Ste E, Prospect, CT 06712-1251 | 2012-08-14 |
1477840270 | Imanuel Babayev | Dentist | 148 East Ave Ste 3h1, Norwalk, CT 06851-5721 | 2011-06-30 |
1629364997 | New London Dental Care, LLC | Dentist | 258 S Frontage Rd, New London, CT 06320-2641 | 2011-06-24 |
1952600595 | James M. Lee | Dentist | 366 Munger Lane, Bethlehem, CT 06751-1100 | 2011-03-22 |
Find all providers with the same taxonomy |
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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.