BRISTOL FAMILY DENTAL, PC


Address: 4 Morris Ave, Bristol, CT 06010-4448
Phone: 8605892794

BRISTOL FAMILY DENTAL, PC (NPI# 1588074025) 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) 1588074025
Entity Type Organization
Organization Name BRISTOL FAMILY DENTAL, PC
Other Organization Name NEXT GENERATION DENTAL
Practice Address 4 Morris Ave
Bristol
CT 06010-4448
Practice Telephone 8605892794
Practice Fax Number 8603140799
Mailing Telephone 8605892794
Mailing Fax Number 8603140799
Enumeration Date 2014-05-06
Last Update Date 2014-05-21
Authorized Official Name ROSS KATKOWSKI (PRESIDENT)
Authorized Official Telephone 8605892794
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
010490 CT Dental Providers

Other Provider/Organization Names

Other Name Type Code
Next Generation Dental Doing Business As Name - Organization

Office Location

Street Address 4 MORRIS AVE
City BRISTOL
State CT
Zip Code 06010-4448

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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
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881163822 Signature Smile Dental LLC Dentist 1212 Veterans Hwy Ste A1, Bristol, PA 19007-2512 2018-11-20
1346757143 Dental Associates of East Tennessee Pllc Dentist 1401 Volunteer Pkwy Ste 3, Bristol, TN 37620-6051 2018-01-03
1396297792 Aaa Dental LLC Dentist 529 Farmington Ave, Bristol, CT 06010-3931 2016-11-01
1346608494 Gentlecare Dental, LLC Dentist 683 Farmington Ave, Store #23, Bristol, CT 06010-3974 2016-02-03
1528479581 Smiles Dental Dentist 87 Central St, Bristol, CT 06010-7046 2014-05-13
1215369574 In Kyung Lee Dentist 1192 Farmington Ave., Bristol, CT 06010 2013-08-08
1225392855 Christopher Carle, Dds, PC Dentist 1401 Volunteer Pkwy, Bristol, TN 37620-6051 2012-06-28
1457622136 Vsmiledental Vaishali Suchak LLC Dentist 603 Veterans Hwy, Bristol, PA 19007-2504 2012-01-26
1932435476 Joseph Soliman Dentist 1212 Veterans Hwy, A1, Bristol, PA 19007-2512 2009-10-18
1912143728 Monica W Bontrager Dentist 12761 Nw Pea Ridge Rd, Bristol, FL 32321-3304 2008-12-29
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Competitor

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City BRISTOL
Zip Code 06010

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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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