SWEET TOOTH PEDIATRIC DENTISTRY (NPI# 1588114227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588114227 |
| Entity Type | Organization |
| Organization Name | SWEET TOOTH PEDIATRIC DENTISTRY |
| Practice Address |
583 Saybrook Rd Middletown CT 06457-4718 |
| Practice Telephone | 8603474681 |
| Practice Fax Number | 8603440286 |
| Mailing Telephone | 8603474681 |
| Mailing Fax Number | 8603440286 |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |
| Authorized Official Name | DANIELLE CASARELLA (CONSULTANT) |
| Authorized Official Telephone | 8602761586 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
11417 | CT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124291 | Sweet Tooth Pediatric Dentistry | Dentist | 6795 Hylan Blvd, Staten Island, NY 10309-3819 | 2020-11-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | SWEET TOOTH PEDIATRIC DENTISTRY, LLC | 583 Saybrook Road, Middletown, CT 06457 |
| Street Address |
583 SAYBROOK RD |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-4718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265594063 | Kenneth Michael Patrician | Dentist | 583 Saybrook Rd, Middletown, CT 06457 | 2006-12-15 |
| 1518326693 | Patricia A. Carta, Dmd LLC | Dentist | 583 Saybrook Rd, Middletown, CT 06457-4718 | 2016-02-17 |
| 1992046635 | Erica Pitera | Dentist | 583 Saybrook Rd, Middletown, CT 06457-4718 | 2013-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| 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 |
|---|---|---|---|---|
| 1184160806 | Jordan Marie Britt | Dentist | 130 Evergreen Rd Ste 100, Middletown, KY 40243-1480 | 2017-01-19 |
| 1962678276 | Rodrell S. Brown | Dentist | 8 Underhill Rd, Apt 6, Middletown, NY 10940-7097 | 2008-05-06 |
| 1407907355 | Joel Franklin Weintraub | Dentist | 789 East Main St., Middletown, NY 10940-0270 | 2007-01-16 |
| 1770542235 | William Patrick Noonan | Dentist | 210 S Breiel Blvd, Middletown, OH 45044-5157 | 2006-03-22 |
| 1699766204 | Daniel James Shoemaker | Dentist | 828 Newfield St, Middletown, CT 06457-1857 | 2005-11-02 |
| 1518326693 | Patricia A. Carta, Dmd LLC | Dentist | 583 Saybrook Rd, Middletown, CT 06457-4718 | 2016-02-17 |
| 1790143402 | Hudson Valley Pediatric Dental, Pllc | Dentist | 75 Crystal Run Rd, Suite 235, Middletown, NY 10941-7000 | 2016-02-09 |
| 1992046635 | Erica Pitera | Dentist | 583 Saybrook Rd, Middletown, CT 06457-4718 | 2013-03-05 |
| 1013277037 | Mark M. Dawoud | Dentist | 75 Dolson Ave, Middletown, NY 10940-6501 | 2012-05-23 |
| 1750683108 | Tiffany Haim | Dentist | 828 Newfield St, Middletown, CT 06457-1857 | 2010-11-17 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
Please comment or provide details below to improve the information on SWEET TOOTH PEDIATRIC DENTISTRY.
| 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.