MODERN ORTHODONTICS LLC (NPI# 1568978476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568978476 |
| Entity Type | Organization |
| Organization Name | MODERN ORTHODONTICS LLC |
| Other Organization Name | SOUTHINGTON ORTHODONTICS |
| Practice Address |
1095 West St Ste 2 Southington CT 06489-1023 |
| Mailing Address |
233 Sterling Dr Newington CT 06111-2261 |
| Practice Telephone | 8604068220 |
| Mailing Telephone | 6039694322 |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2017-12-15 |
| Authorized Official Name | DR. ANUJ CAMANOCHA (ORTHODONTIST/OWNER) |
| Authorized Official Telephone | 8604064322 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Southington Orthodontics | Doing Business As Name - Organization |
| Street Address |
1095 WEST ST STE 2 |
| City | SOUTHINGTON |
| State | CT |
| Zip Code | 06489-1023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467087783 | Shankar Panwar | Counselor | K 11, 1783 Meriden Waterbury Tpke, Southington, CT 06489 | 2020-03-06 |
| 1235771056 | Kathleen Rebecca Mckinney | Music Therapist | 196 Queen St., Southington, CT 06489 | 2019-10-14 |
| 1336700103 | Julie Amanda Nichols | Behavioral Analyst | 1842 Meriden-waterbury Turnpike, Southington, CT 06489 | 2019-06-24 |
| 1396238960 | Kriston Ronalter | Physician Assistant | 775 Queen Street, Southington, CT 06489 | 2018-06-08 |
| 1366933582 | Cj's Counseling, LLC | Counselor | 17 Meriden Ave Ste 1a, Southington, CT 06489 | 2018-05-23 |
| 1104329887 | Koby Douglas Fowler | Chiropractor | 1095 West St Unit 1, Southington, CT 06489 | 2018-03-09 |
| 1447763131 | Samreen, LLC | Clinic/Center | 775 Queen St, Suite 2, Southington, CT 06489 | 2017-11-16 |
| 1902320724 | Michael Petit | Physical Therapist | 98 Main Street, 202, Southington, CT 06489 | 2017-08-02 |
| 1457712127 | Leslie Mclaughlin | Speech-Language Pathologist | 400 Flanders Rd, Southington, CT 06489 | 2016-03-09 |
| 1306219159 | Breanne Schnepf-hanbury | Counselor | 26 N Main St Ste 2b, Southington, CT 06489 | 2015-11-02 |
| Find all providers in zip 06489 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679989289 | Anuj Camanocha | Dentist | 1095 West St, Southington, CT 06489-1023 | 2014-07-02 |
| 1285806497 | Anthony J Stankewicz | Dentist | 755 Queen St, Southington, CT 06489-1531 | 2008-03-27 |
| 1215012190 | Donald Christian Demas | Dentist | 27 Meriden Ave Ste 2a, Southington, CT 06489-3234 | 2006-10-26 |
| 1396289195 | Demas Orthodontics PC | Dentist | 27 Meriden Ave Ste 2a, Southington, CT 06489-3234 | 2016-12-13 |
| 1508015306 | Marc Parness | Dentist | 100 Main St, Southington, CT 06489-2506 | 2008-09-16 |
| 1225206394 | Peter J Abt | Dentist | 27 Meriden Ave, Southington, CT 06489-3234 | 2008-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894831 | Chia-hua Pai | Dentist | 10 Mott Ave Ste 3c, Norwalk, CT 06850-3320 | 2020-09-04 |
| 1699307819 | Michael Fogge | Dentist | 1527 Route 12 Ste 2, Gales Ferry, CT 06335-1800 | 2020-02-05 |
| 1033752613 | Gregory Augustus Mckenna | Dentist | 131 Deer Hill Ave, Danbury, CT 06810-7783 | 2019-10-25 |
| 1760024723 | Baliram Maraj | Dentist | 801 Plainville Ave., Farmington, CT 06032 | 2019-10-11 |
| 1700379765 | Emily Ding | Dentist | 241 Monroe Tpke, Monroe, CT 06468 | 2018-06-13 |
| 1568991636 | Bibko Orthodontics LLC | Dentist | 346 Main Ave Ste D, Norwalk, CT 06851-1591 | 2017-06-12 |
| 1114467164 | Consolidated Orthodontic Services, LLC | Dentist | 3 Silver Brook Ln, Torrington, CT 06790-7814 | 2017-02-23 |
| 1922544543 | Raptis Orthodontics | Dentist | 670 East Rd, Bristol, CT 06010-6845 | 2017-01-07 |
| 1538604178 | Donald C Demas, Dds, Ms, PC | Dentist | 51 Depot St Ste 505, Watertown, CT 06795-2685 | 2017-01-05 |
| 1093267585 | Justin Keith Bass | Dentist | 119 Gregory Blvd, #44, Norwalk, CT 06855 | 2016-10-31 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHINGTON |
| Zip Code | 06489 |
Please comment or provide details below to improve the information on MODERN ORTHODONTICS 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.