WOLCOTT STREET DENTAL-2, PC


Address: 144 Boston Ave, Bridgeport, CT 06610-1604
Phone: 8009209947

WOLCOTT STREET DENTAL-2, PC (NPI# 1538392170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538392170
Entity Type Organization
Organization Name WOLCOTT STREET DENTAL-2, PC
Other Organization Name SUTTON DENTAL
Practice Address 144 Boston Ave
Bridgeport
CT 06610-1604
Mailing Address 1090 Northchase Pkwy Se Ste 150
Marietta
GA 30067-6407
Practice Telephone 8009209947
Practice Fax Number 6789045666
Mailing Telephone 7709165028
Mailing Fax Number 6782477858
Enumeration Date 2009-08-31
Last Update Date 2019-08-05
Authorized Official Name DR. DAVID M VIETH (PRESIDENT)
Authorized Official Telephone 7709165036
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223E0200X Dentist
Specialization: Endodontics
Dental Providers
N 1223G0001X Dentist
Specialization: General Practice
Dental Providers
N 1223P0221X Dentist
Specialization: Pediatric Dentistry
Dental Providers
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
Dental Providers
N 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
Dental Providers
Y 122300000X Dentist Dental Providers

Other Provider/Organization Names

Other Name Type Code
Sutton Dental Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1134359623 Wolcott Street Dental-2, PC Dentist 728 Wolcott Street, Waterbury, CT 06705 2009-07-20
1477878973 Wolcott Street Dental-2, PC Dentist 1888 Main St, Hartford, CT 06120-2357 2010-03-29

Office Location

Street Address 144 BOSTON AVE
City BRIDGEPORT
State CT
Zip Code 06610-1604

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548632607 Jae Kim Dentist 144 Boston Ave, Bridgeport, CT 06610-1604 2015-10-28
1629487293 Manmeet Kaur Arora Dentist 144 Boston Ave, Bridgeport, CT 06610-1604 2014-08-08
1730598285 Nirali Merchant Dentist 144 Boston Ave, Bridgeport, CT 06610-1604 2014-08-08
1386955193 Lalit Kapoor Dentist 144 Boston Ave, Bridgeport, CT 06610-1604 2010-06-25
1730316597 Saima A Khan Dentist 144 Boston Ave, Bridgeport, CT 06610-1604 2009-06-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215553698 Juan G Farfan Nurse Anesthetist, Certified Registered 267 Grant Sreet, Bridgeport, CT 06610 2020-06-22
1104446145 Deepak Rajkumar Vangipuram Student in an Organized Health Care Education/Training Program Department of Medicine, Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 2020-04-20
1275152886 Soniya Abraham Student in an Organized Health Care Education/Training Program Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 2020-04-14
1538621834 Yu Mi Kang Student in an Organized Health Care Education/Training Program 267 Grant Street, Yale New Haven Health/bridgeport Hosp, Bridgeport, CT 06610 2019-04-04
1073075024 Ashwin Pramod Deshmukh Student in an Organized Health Care Education/Training Program Yale New Haven Health / Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 2019-04-01
1790246866 Prachi Mangesh Pednekar Student in an Organized Health Care Education/Training Program Yale New Haven Health/bridgeport Hospital, 261 Grant Street Department of Internal Medicine, Bridgeport, CT 06610 2019-03-29
1194247916 Jessica M. Maddern Social Worker 1558 Barnum Avenue, Building C, Bridgeport, CT 06610 2017-07-13
1922532746 Megha Kureti Student in an Organized Health Care Education/Training Program 267 Grant St Fl 3, Bridgeport, CT 06610 2017-04-18
1831623099 Cynthia Joseph Walters Nurse Anesthetist, Certified Registered Bridgeport Hospital-anesthesia Department, 267 Grant Street, Bridgeport, CT 06610 2017-04-14
1285186148 Helen Leahy Nurse Practitioner 439 Mill Hill Ave., Bridgeport, CT 06610 2016-10-26
Find all providers in zip 06610

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225672843 Adam M. Grubler Dds, Pllc Dentist 1160 Johnson Ave Ste 104, Bridgeport, WV 26330-1487 2019-11-06
1982149522 Ghorbani - Mohammadi Dental P.C. Dentist 2676 E Main St, Columbia Dental, Bridgeport, CT 06610-1422 2017-01-05
1790169613 Victor Esmeraldo Dentist 1808 Chico Hwy, Bridgeport, TX 76426 2015-07-10
1548666142 Awesome Smiles Dentist 1163 E Main St, Bridgeport, CT 06608-1620 2014-11-08
1932521473 Anthony Santostefano Dentist 594 Pequonnock Street, Bridgeport, CT 06604 2014-01-18
1891092276 Rita Bobb-rollins, Dds, Ltd. Dentist 102 Tolley Dr, Bridgeport, WV 26330-1668 2011-02-19
1063728285 Jeremy F Bell Dentist 2260 North Ave, Bridgeport, CT 06604-2413 2010-08-25
1093034621 Northeast Dental Solutions LLC Dentist 56 Harriet St, First Floor, Bridgeport, CT 06608-2131 2010-05-21
1578704789 Angelo Michael Guerrera Dentist 2979 Madison Ave, Bridgeport, CT 06606-2060 2009-03-18
1700032042 Ezro Leviyev Dentist 665 Clinton Ave, Bridgeport, CT 06605-1711 2008-08-18
Find all providers in BRIDGEPORT

Competitor

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City BRIDGEPORT
Zip Code 06610

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Dataset Information

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.

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