DR. NATHAN ELDON MUMFORD (NPI# 1659682979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659682979 |
| Entity Type | Individual |
| Full Name | DR. NATHAN ELDON MUMFORD |
| Credential | D.M.D |
| Practice Address |
291 Farmington Ave Farmington CT 06032-1925 |
| Mailing Address |
400 Blake St Apt 2408 New Haven CT 06515-4412 |
| Practice Telephone | 8606778666 |
| Practice Fax Number | 8606775893 |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2011-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
10532 | CT | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
291 FARMINGTON AVE |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032-1925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285651133 | Connecticut Maxillofacial Surgeons, LLC | Dentist | 291 Farmington Ave, Farmington, CT 06032-1925 | 2006-07-16 |
| 1760863591 | Katherine Calvert Grosso | Dentist | 291 Farmington Ave, Farmington, CT 06032-1925 | 2015-06-17 |
| 1427367820 | Jesse Michael Sorrentino | Dentist | 291 Farmington Ave, Farmington, CT 06032-1925 | 2010-10-02 |
| 1689826505 | Walter C Schiller | Dentist | 291 Farmington Ave, Farmington, CT 06032-1925 | 2008-10-22 |
| 1992957815 | Robert S Hall | Dentist | 291 Farmington Ave, Farmington, CT 06032-1925 | 2008-10-22 |
| 1699927517 | Charles R Chiarello | Dentist | 291 Farmington Ave, Farmington, CT 06032-1925 | 2008-10-22 |
| 1316199235 | Jason T Mielcarek | Dentist | 291 Farmington Ave, Farmington, CT 06032-1925 | 2008-10-22 |
| 1518119437 | Thomas J Mensi | Dentist | 291 Farmington Ave, Farmington, CT 06032-1925 | 2008-10-22 |
| 1235381153 | Robert Steven Hall Jr. | Dentist | 291 Farmington Ave, Farmington, CT 06032-1925 | 2008-10-22 |
| 1215149596 | John A Bierly Dmd and Peter J Peterson Dmd, PC | Dentist | 291 Farmington Ave, Farmington, CT 06032-1925 | 2007-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508499435 | Kelsey Erin Boyne | Student in an Organized Health Care Education/Training Program | 200 Academic Way, Farmington, CT 06032 | 2020-02-19 |
| 1760024723 | Baliram Maraj | Dentist | 801 Plainville Ave., Farmington, CT 06032 | 2019-10-11 |
| 1770144958 | Dominique Feterman Jimenez | Student in an Organized Health Care Education/Training Program | Internal Medicine Associates Outpatient Pavilion 2 West, 263 Farmington Avenue, Farmington, CT 06032 | 2019-06-27 |
| 1033770698 | Tiffany Otto | Nurse Practitioner | 27o Farmington Avenue, # 309, Farmington, CT 06032 | 2019-06-25 |
| 1124683941 | Aleksandra M Sliwinska | Student in an Organized Health Care Education/Training Program | Uconn Health Im Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 | 2019-05-07 |
| 1922663889 | Sean Ag Harford | Student in an Organized Health Care Education/Training Program | Uconn Health - Internal Medicine Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 | 2019-05-07 |
| 1710450507 | Kathy Jean Campbell | Occupational Therapist | 10 Birdseye Rd, Farmington, CT 06032 | 2019-01-04 |
| 1790273373 | Cameron Seymour | Dentist | 291 Farmington Ave Ste 5, Farmington, CT 06032 | 2018-04-29 |
| 1881181790 | Robin L Shahverdian LLC | Counselor | 304 Main St Ste D428, Farmington, CT 06032 | 2018-04-16 |
| 1588160998 | Sight Sensory Rehabilitation Center, Pllc | Optometrist | 10 Birdseye Road, Farmington, CT 06032 | 2018-04-04 |
| Find all providers in zip 06032 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407416977 | Alexander Michael Shore | Dentist | 33153 Maplenut St, Farmington, MI 48336-4438 | 2019-06-17 |
| 1629596705 | Dds Catalyst Farmington, LLC | Dentist | 3501 N Butler Ave Ste 104, Farmington, NM 87401-6430 | 2017-09-08 |
| 1750802997 | Ryan Michael Holbrook | Dentist | 640 W Karsch Blvd, Farmington, MO 63640-3342 | 2017-06-28 |
| 1770939613 | Modern Dental Professionals, Mn PC | Dentist | 20700 Chippendale Ave W, Suite 10, Farmington, MN 55024-8207 | 2016-05-10 |
| 1508232992 | Christopher Nicholaus Roclevitch | Dentist | 3030 E Main St, T-1, Farmington, NM 87402-7636 | 2015-08-19 |
| 1003200569 | Pure Dental PC | Dentist | 2 Forest Park Dr Ste 1, Farmington, CT 06032-1446 | 2015-03-23 |
| 1417346016 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 520 W. Pine Street, Farmington, MO 63640-1426 | 2015-01-20 |
| 1487913869 | Modern Dental Professionals Utah, PC | Dentist | 280 N Union Ave, #l110, Farmington, UT 84025 | 2012-05-07 |
| 1427320654 | Summit Family Dental of Farmington, LLC | Dentist | 800 E 30th St Bldg 3, Farmington, NM 87401-9407 | 2012-02-03 |
| 1851679393 | Peter Urling | Dentist | 19 S. Franklin St., Farmington, MO 63640 | 2011-08-02 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 06032 |
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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.