SMILE BY DESIGN WINDSOR LLC (NPI# 1548502750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548502750 |
| Entity Type | Organization |
| Organization Name | SMILE BY DESIGN WINDSOR LLC |
| Other Organization Name | KIDS DENTAL CARE WINDSOR LLC |
| Practice Address |
697 Poquonock Avenue Windsor CT 06010-2259 |
| Mailing Address |
P.o Box 566 Windsor CT 06010-2259 |
| Practice Telephone | 8602190932 |
| Practice Fax Number | 8602191482 |
| Mailing Telephone | (860) 219-0932 |
| Mailing Fax Number | 8602191482 |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2017-07-18 |
| Authorized Official Name | SALEH AKBAR (OPERATIONS MANAGER) |
| Authorized Official Telephone | 8602190932 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | CT | Dental Providers | |
| N | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
006903 | CT | Dental Providers |
| N | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
CT | Dental Providers | |
| N | 1223G0001X |
Dentist Specialization: General Practice |
CT | Dental Providers | |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
11249 | CT | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
P07893 | CT | Dental Providers |
| Other Name | Type Code |
|---|---|
| Kids Dental Care Windsor LLC | Former Legal Business Name - Organization |
| Street Address |
697 POQUONOCK AVENUE |
| City | WINDSOR |
| State | CT |
| Zip Code | 06010-2259 |
| 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 | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841639879 | Amy Hua Banks | Dentist | 1349 Water Valley Pkwy Ste 101, Windsor, CO 80550-6264 | 2013-06-24 |
| 1548499205 | Jill M Shonka | Dentist | 1299 Main St Unit C, Windsor, CO 80550-5918 | 2009-07-02 |
| 1750403754 | Laura Van Roy | Dentist | 8741 Brooks Rd S, Suite 202, Windsor, CA 95492-7847 | 2007-04-03 |
| 1053690651 | Jill Shonka, Dds, PC | Dentist | 1299 Main St Unit C, Windsor, CO 80550-5918 | 2011-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902426240 | River Road Pediatric Dentistry, LLC | Dentist | 865 River Rd Ste 10, Shelton, CT 06484-5464 | 2020-04-16 |
| 1326507369 | True Pediatric Dental Care LLC | Dentist | 233 Elm St Fl 2, West Haven, CT 06516-4635 | 2019-03-19 |
| 1740756345 | Grace Tylo LLC | Dentist | 35 Cold Spring Rd Ste 324, Rocky Hill, CT 06067-3163 | 2018-10-22 |
| 1932684990 | Orange Children's Dentistry, LLC | Dentist | 518 Boston Post Rd Ste 4-5, Orange, CT 06477-3554 | 2018-09-26 |
| 1992293443 | Braces On Me, P.C. | Dentist | 209 Boston Post Rd Ste 312, Milford, CT 06460-3161 | 2018-04-30 |
| 1417452541 | Bloomfield Pediatric Dentistry Pllc | Dentist | 34 Jerome Ave Ste 200, Bloomfield, CT 06002-2463 | 2018-03-29 |
| 1033622246 | Magicland Pediatric Dental LLC | Dentist | 815 Wolcott St, Waterbury, CT 06705-1301 | 2017-11-09 |
| 1023569654 | The Little Tooth Company Pediatric Dentistry LLC | Dentist | 264 Queen St, Suite A, Southington, CT 06489-1901 | 2016-10-19 |
| 1386035707 | Modern Family Dental | Dentist | 360 Boston Ave, Suite 17, Stratford, CT 06614-5213 | 2015-02-06 |
| 1053727479 | Sph3enterprise, LLC | Dentist | 194 Buckland Hills Drive, Manchester, CT 06042 | 2014-07-07 |
| 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.