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).
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 |
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 Name | Type Code |
---|---|
Sutton Dental | Doing Business As Name - Organization |
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 |
Street Address |
144 BOSTON AVE |
City | BRIDGEPORT |
State | CT |
Zip Code | 06610-1604 |
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 |
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 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 |
---|---|---|---|---|
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 |
City | BRIDGEPORT |
Zip Code | 06610 |
Please comment or provide details below to improve the information on WOLCOTT STREET DENTAL-2, PC.
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.