DR. WALTER F BLOES (NPI# 1689747784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689747784 |
Entity Type | Individual |
Full Name | DR. WALTER F BLOES |
Credential | D.M.D. |
Practice Address |
1171 E Putnam Ave Riverside CT 06878-1426 |
Practice Telephone | 2036981414 |
Practice Fax Number | 2036982209 |
Mailing Telephone | 2036981414 |
Mailing Fax Number | 2036982209 |
Enumeration Date | 2006-11-16 |
Last Update Date | 2012-04-23 |
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 |
00775 | CT | Dental Providers |
Street Address |
1171 E PUTNAM AVE |
City | RIVERSIDE |
State | CT |
Zip Code | 06878-1426 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629076682 | Bruce Robert Turton | Chiropractor | 1171 E Putnam Ave, Riverside, CT 06878-1426 | 2005-07-13 |
1780037200 | Sana Saiyed | Physical Therapist | 1171 E Putnam Ave, Riverside, CT 06878-1426 | 2016-07-20 |
1326415480 | Michael May | Physical Therapist | 1171 E Putnam Ave, Building 2 - Floor 2, Riverside, CT 06878-1426 | 2015-08-25 |
1962881797 | Kathryn Michael Faugno | Physical Therapist | 1171 E Putnam Ave, Riverside, CT 06878-1426 | 2015-05-26 |
1447644109 | Dr. Kyle James Bean, LLC | Chiropractor | 1171 E Putnam Ave, Building #2, Riverside, CT 06878-1426 | 2015-03-20 |
1497157671 | Andrea Word | Physical Therapist | 1171 E Putnam Ave, Riverside, CT 06878-1426 | 2014-09-19 |
1295136000 | Kyle J Bean | Chiropractor | 1171 E Putnam Ave, Building #2, Riverside, CT 06878-1426 | 2014-09-11 |
1437561206 | James Nicholas Olayos Jr. | Physical Therapist | 1171 E Putnam Ave, Riverside, CT 06878-1426 | 2014-05-28 |
1619254364 | Scott Kesselman | Dentist | 1171 E Putnam Ave, Building 2, Suite C, Riverside, CT 06878-1426 | 2011-11-09 |
1225264971 | Eleonora S Kishelova | Physical Therapist | 1171 E Putnam Ave, Building 2, Second Floor, Riverside, CT 06878-1426 | 2009-06-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164933750 | Stephanie Jane Oertel | Physician Assistant | 1285 E Putnam Ave, Riverside, CT 06878 | 2017-10-23 |
1669757050 | Bozena Valencic | Pharmacist | 1333 East Putnam Avenue, Riverside, CT 06878 | 2011-10-17 |
1245520485 | Sonya N Joseph | Psychiatry & Neurology | 7 Meyer Place, River Side, CT 06878 | 2011-04-08 |
1487964037 | Alex E Lash | Special Hospital | 23 Westview Place, Riverside, CT 06878 | 2010-10-18 |
1578780516 | Angelo Milazzo | Dentist | 1212 East Putnam Ave, Greenwich, CT 06878 | 2007-04-19 |
1720168347 | Neil N Boside | Internal Medicine | 1200 East Putnam Ave, 2nd Floor, Riverside, CT 06878 | 2006-10-17 |
1447534094 | Elam H. Joseph | Anesthesiology | 7 Meyer Place, Riverside, CT 06878 | 2011-09-30 |
1508186651 | Prabaakar Reddy | Internal Medicine | 1200 East Putnam Ave, Greewich Walk In Medical Ctr, Riverside, CT 06878 | 2010-06-10 |
1295275808 | Eastern Comprehensive Medical Services | Specialist | 106 Sheephill Rd, Riverside, CT 06878-1120 | 2017-03-01 |
1871961649 | Diane Chiappetta Fox | Speech-Language Pathologist | 40 Bonwit Rd, Riverside, CT 06878-1215 | 2015-09-09 |
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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 |
---|---|---|---|---|
1558637918 | Dale E. Stringer D.d.s., Inc. | Dentist | 6860 Brockton Avenue, Suite 1, Riverside, CA 92506-3812 | 2012-03-29 |
1578778825 | Jeong Doo Kim | Dentist | 4000 Tyler St Ste A, Riverside, CA 92503-3458 | 2007-05-11 |
1548369069 | Phuong C. Huynh, Dds, Inc. | Dentist | 10683 Magnolia Ave Ste D, Riverside, CA 92505-1893 | 2006-09-21 |
1154336501 | Donald L. Cram, D.d.s., Inc | Dentist | 3733 Arlington Ave Ste A, Suite A, Riverside, CA 92506-2651 | 2006-07-31 |
1598044356 | Jd Kim Md, Dds, Inc | Dentist | 4000 Tyler St Ste A, Riverside, CA 92503-3458 | 2011-08-11 |
1881714129 | Phuong C Huynh | Dentist | 10683 Magnolia Ave Ste D, Riverside, CA 92505-1893 | 2007-03-30 |
1598771933 | Donald L Cram | Dentist | 3733 Arlington Ave Ste A, Riverside, CA 92506-2651 | 2006-07-31 |
1255358172 | Grant Jong | Dentist | 6180 Brockton Ave, Suite 201, Riverside, CA 92506-2228 | 2006-07-16 |
1861440836 | Dale E. Stringer | Dentist | 6860 Brockton Ave, Suite 1, Riverside, CA 92506-3816 | 2006-05-04 |
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.