NORTH MAIN DENTAL GROUP LLC (NPI# 1528674728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528674728 |
| Entity Type | Organization |
| Organization Name | NORTH MAIN DENTAL GROUP LLC |
| Practice Address |
225 N Main St Ste 210 Bristol CT 06010-4993 |
| Practice Telephone | 8605823744 |
| Mailing Telephone | 8605823744 |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | DR. LETER C REID (OWNER) |
| Authorized Official Telephone | 8606559195 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | NORTH MAIN DENTAL GROUP LLC | 225 North Main Street, Suite 209, Bristol, CT 06010 |
| Street Address |
225 N MAIN ST STE 210 |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010-4993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457991309 | A New Hope Caregiving Alliance LLC | Home Health | 225 North Main Street - Suite 107, Bristol, CT 06010 | 2020-01-08 |
| 1154981777 | Georgianna Sloate Lmft, LLC | Marriage & Family Therapist | 38 Kelley Street, Bristol, CT 06010 | 2019-06-17 |
| 1962062810 | Ariel Morley | Urology | 15 Riverside Avenue, Bristol, CT 06010 | 2019-06-13 |
| 1013439488 | Theresa Rose Manolitsis | Student in an Organized Health Care Education/Training Program | 170 Pondview Lane, Bristol, CT 06010 | 2017-07-07 |
| 1588103600 | Elizabeth Anne Costello | Pharmacist | 747 Pine Street, Bristol, CT 06010 | 2017-02-22 |
| 1992157903 | Aiman Riaz | Internal Medicine | 41 Brewster Rd # 5161, Bristol, CT 06010 | 2016-07-01 |
| 1346609955 | Monika Magdalena Sullivan | Nurse Practitioner | 122 Maple Street, Bristol, CT 06010 | 2016-02-11 |
| 1346660776 | Peter Bellezza | Podiatrist | 15 Riverside Ave, Bristol, CT 06010 | 2014-04-24 |
| 1487088001 | Stephen Alexander Merwin | Social Worker | 32 Laird Drive, Bristol, CT 06010 | 2013-08-30 |
| 1215369574 | In Kyung Lee | Dentist | 1192 Farmington Ave., Bristol, CT 06010 | 2013-08-08 |
| Find all providers in zip 06010 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629696190 | Bristol Endodontics PC | Clinic/Center | 225 N Main St Ste 209, Bristol, CT 06010-4993 | 2020-07-10 |
| 1871010850 | South Holston Dental Designs | Clinic/Center | 15325 Lee Hwy, Bristol, VA 24202-4013 | 2017-08-29 |
| 1194149641 | Ac Dental Care, Inc. Dba Red Clover Family Dentistry | Clinic/Center | 61 Pine St, Building 4, Bristol, VT 05443-1043 | 2014-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790397776 | Best Way Dental Services, LLC | Clinic/Center | 886 Main St Ste B, Willimantic, CT 06226-2340 | 2020-08-20 |
| 1194357418 | Bolton Lake Dental LLC | Clinic/Center | 1120 Boston Tpke, Bolton, CT 06043-7439 | 2020-02-05 |
| 1124669924 | Dental Essentials of Rocky Hill | Clinic/Center | 2301 Silas Deane Hwy # 2, Rocky Hill, CT 06067-2330 | 2019-10-02 |
| 1730736216 | Pearl Dental of Trumbull, Pllc | Clinic/Center | 140 Monroe Tpke Unit C, Trumbull, CT 06611-1357 | 2019-08-20 |
| 1134774953 | Ezra Friedman Dds | Clinic/Center | 464 Wolcott Rd Ste 2, Wolcott, CT 06716-2626 | 2019-08-08 |
| 1790343051 | Madison Dental Spa | Clinic/Center | 90 Wall St Ste 100, Madison, CT 06443-3128 | 2019-06-03 |
| 1730644212 | Resolute Cross Road LLC | Clinic/Center | 112 Cross Rd, Waterford, CT 06385-1204 | 2019-02-08 |
| 1861966954 | James S Bauer Dmd Incorporated | Clinic/Center | 40 Main St N Ste E, Woodbury, CT 06798-2966 | 2019-01-11 |
| 1821568650 | Parkway Dental Np LLC | Clinic/Center | 1869 Dixwell Ave Ste 4, Hamden, CT 06514-3145 | 2018-12-05 |
| 1821565128 | Springdale Dental Group | Clinic/Center | 1081 Hope St Ste A, Stamford, CT 06907-1824 | 2018-10-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NORTH MAIN DENTAL GROUP LLC.
| 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.