DR. FREDRIC RONALD GOOGEL (NPI# 1619971066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619971066 |
| Entity Type | Individual |
| Full Name | DR. FREDRIC RONALD GOOGEL |
| Credential | D.M.D. |
| Practice Address |
1268 Main St Newington CT 06111-3038 |
| Practice Telephone | 8606665674 |
| Mailing Telephone | 8606665674 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
4281 | CT | Dental Providers |
| Street Address |
1268 MAIN ST |
| City | NEWINGTON |
| State | CT |
| Zip Code | 06111-3038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003338542 | Molly Ann Mccarthy | Counselor | 1268 Main St, Newington, CT 06111-3038 | 2017-07-15 |
| 1891233359 | Rachel Gravel | Speech-Language Pathologist | 1268 Main St, Suite 204, Newington, CT 06111-3038 | 2017-02-05 |
| 1427508290 | Pediatric Communication Center, LLC | Speech-Language Pathologist | 1268 Main St, Newington, CT 06111-3038 | 2016-10-05 |
| 1700253168 | Pathways Therapuetic Counseling Services, LLC | Social Worker | 1268 Main St, Suite 106, Newington, CT 06111-3038 | 2015-09-01 |
| 1184007841 | Stride Counseling Serivces | Counselor | 1268 Main St, Newington, CT 06111-3038 | 2015-06-30 |
| 1093101396 | Thrive Counseling Services, LLC | Social Worker | 1268 Main St, Suite 106, Newington, CT 06111-3038 | 2015-04-13 |
| 1265720163 | Newington Behavioral Health | Clinic/Center | 1268 Main St, Suite 107, Newington, CT 06111-3038 | 2011-07-13 |
| 1811292832 | Christine Joan Kenney | Counselor | 1268 Main St, Suite #101, Newington, CT 06111-3038 | 2011-01-23 |
| 1043405277 | Newington Medical Associates Comprehensive Care | Internal Medicine | 1268 Main St, Newington, CT 06111-3038 | 2007-09-11 |
| 1528286721 | Jerome A Stien Dds PC | Dentist | 1268 Main St, 202, Newington, CT 06111-3038 | 2007-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952880056 | Insight To Wellness Therapeutic Services, LLC | Community/Behavioral Health | 66 Cedar St. Suite 201, Newington, CT 06111 | 2018-08-09 |
| 1356843833 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 38 Fenn Road, Newington, CT 06111 | 2018-03-01 |
| 1942719927 | Jessica Quintero-villa | Chiropractor | Judson Family Chiropractic, 133 Louis St., Newington, CT 06111 | 2017-09-22 |
| 1194245993 | Serrita Roper | Registered Nurse | 11 Edward St, Newington, CT 06111 | 2017-06-22 |
| 1417482522 | Aditi Thakkar | Student in an Organized Health Care Education/Training Program | 555 Willard Avenue, Newington Va Hospital, Newington, CT 06111 | 2017-04-26 |
| 1033562525 | Hassan Bin Attique | Student in an Organized Health Care Education/Training Program | Newington Va Hospital, Newington Vamc, Firm Chief, Firm 2, Vact Primary Care, Newington, CT 06111 | 2016-07-19 |
| 1013360098 | Home Care Associates of Ct 2 Inc | In Home Supportive Care | 66 Cedar Street, Unit 301, Newington, CT 06111 | 2016-07-14 |
| 1548623259 | Aniket Sharma | Student in an Organized Health Care Education/Training Program | Newington Va Hospital, 555 Willard Avenue, Newington Vamc, Firm Chief, Firm 2, Vact Pri, Newington, CT 06111 | 2016-03-30 |
| 1790104883 | Patrick Ogurick | Pediatrics | 141 Willard Avenue, Newington, CT 06111 | 2014-04-16 |
| 1922438217 | Susan Pollock May | Dentist | 51 Market Sq., Newington, CT 06111 | 2013-11-22 |
| Find all providers in zip 06111 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649464991 | Craig Allen Stasulis | Dentist | 435 Willard Ave Unit D, Newington, CT 06111-2318 | 2007-08-30 |
| 1881237402 | Craig A. Stasulis Dmd, Md, Oral and Maxillofacial Surgery, Inc | Dentist | 435 Willard Ave Unit D, Newington, CT 06111-2318 | 2019-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053951350 | Connecticut Oral Surgery and Implant Center, Pllc | Dentist | 314 Flanders Rd Ste 1b, East Lyme, CT 06333-1727 | 2020-01-14 |
| 1952898025 | Premier Oral Surgery and Implantology Center LLC | Dentist | 411 Barnum Avenue Cutoff Ste 5, Stratford, CT 06614-5100 | 2018-04-15 |
| 1629595145 | Gary Fishbein Dmd LLC | Dentist | 281 Hartford Tpke Ste 307, Vernon, CT 06066-4707 | 2017-08-25 |
| 1912428160 | Gm Surgical Associates LLC | Dentist | 130 New London Tpke Ste 3, Norwich, CT 06360-2624 | 2017-06-28 |
| 1861920068 | Mofs-ct Oral Facial Surgery LLC | Dentist | 1 Boulder Ave, Old Greenwich, CT 06870-1420 | 2017-06-01 |
| 1881034262 | Christy Lottinger | Dentist | 263 Farmington Ave # Mc1710, Farmington, CT 06030-1267 | 2013-06-28 |
| 1558618025 | Priceless Dental Care P.C. | Dentist | 60 Waterbury Rd Ste E, Prospect, CT 06712-1251 | 2012-08-14 |
| 1477840270 | Imanuel Babayev | Dentist | 148 East Ave Ste 3h1, Norwalk, CT 06851-5721 | 2011-06-30 |
| 1629364997 | New London Dental Care, LLC | Dentist | 258 S Frontage Rd, New London, CT 06320-2641 | 2011-06-24 |
| 1952600595 | James M. Lee | Dentist | 366 Munger Lane, Bethlehem, CT 06751-1100 | 2011-03-22 |
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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.