DR. ROGER BADWAL (NPI# 1700894300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700894300 |
| Entity Type | Individual |
| Full Name | DR. ROGER BADWAL |
| Credential | DMD, MD |
| Practice Address |
107 Newtown Rd Danbury CT 06810-4146 |
| Practice Telephone | 2037970012 |
| Practice Fax Number | 2037970123 |
| Mailing Telephone | 2037970012 |
| Mailing Fax Number | 2037970123 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2019-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
008387 | CT | Dental Providers |
| Y | 204E00000X | Oral & Maxillofacial Surgery | 8387 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001364190 | 05 |
| Street Address |
107 NEWTOWN RD |
| City | DANBURY |
| State | CT |
| Zip Code | 06810-4146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184629545 | David Goldenberg | Specialist | 107 Newtown Rd, 2c, Danbury, CT 06810-4146 | 2005-06-14 |
| 1669815114 | Maryam Azizi | Pediatrics | 107 Newtown Rd, Danbury, CT 06810-4146 | 2013-04-15 |
| 1689957045 | Melissa T Lev | Audiologist | 107 Newtown Rd, Suite 2a, Danbury, CT 06810-4146 | 2011-09-22 |
| 1881981371 | Michael Drobbin | Otolaryngology | 107 Newtown Rd, Suite 2a, Danbury, CT 06810-4146 | 2011-07-05 |
| 1861630790 | Karen A Sample | Audiologist | 107 Newtown Rd, Danbury, CT 06810-4146 | 2009-01-30 |
| 1275791279 | Yogen Dave | Allergy & Immunology | 107 Newtown Rd, Danbury, CT 06810-4146 | 2008-05-27 |
| 1861677031 | Advanced Audiology & Hearing Aid Services | Audiologist-Hearing Aid Fitter | 107 Newtown Rd, Suite 2a, Danbury, CT 06810-4146 | 2008-01-07 |
| 1760692941 | Purvi Shah | Specialist | 107 Newtown Rd, 1b, Danbury, CT 06810-4146 | 2007-05-23 |
| 1245367622 | Anthony Joseph Camillo | Dentist | 107 Newtown Rd, Danbury, CT 06810-4146 | 2007-02-27 |
| 1992843908 | Dayna Nethercott | Physician Assistant | 107 Newtown Rd, Suite 1d, Danbury, CT 06810-4146 | 2007-02-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751017 | Jai Karan Singh | Student in an Organized Health Care Education/Training Program | 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 | 2020-05-14 |
| 1497377576 | Jahangir Rouzbehani Selakhor | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave. 06810-6099, Danbury, CT 06810 | 2020-05-12 |
| 1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
| 1740748755 | Jose Rafael Rivera | Pharmacist | 305 White St, Danbury, CT 06810 | 2019-03-08 |
| 1013406396 | Aswathi Elsa Mathew | Student in an Organized Health Care Education/Training Program | Greater Danbury Community Health Center, 120 Main St, Danbury, CT 06810 | 2018-05-02 |
| 1073001772 | Manish Kumar Gupta | Student in an Organized Health Care Education/Training Program | Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 | 2018-04-27 |
| 1396232005 | Ayushman Rai Sood | Student in an Organized Health Care Education/Training Program | 24 Hospital Avenue, Danbury Hospital, Danbury, CT 06810 | 2018-04-18 |
| 1366953705 | Connecticut Neurodiagnostics, LLC | Clinic/Center | 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 | 2017-10-12 |
| 1528585569 | Xing Zhu | Dentist | 28 Paulding Ter, Danbury, CT 06810 | 2017-08-29 |
| 1851812606 | Julie Susanne Alferi | Dental Hygienist | 70, Main Street, Danbury, CT 06810 | 2017-07-02 |
| Find all providers in zip 06810 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992916787 | Associated Oral and Maxillofacial Surgeons | Oral & Maxillofacial Surgery | 107 Newtown Rd., Suite 1a, Danbury, CT 06810 | 2007-05-24 |
| 1982616074 | Louis Vincent Theodos | Oral & Maxillofacial Surgery | 52 Federal Rd Ste 2a, Danbury, CT 06810-6162 | 2006-08-13 |
| 1215152574 | Northeast Implant & Oral Surgery, PC | Oral & Maxillofacial Surgery | 27 Hospital Ave, Suite 306, Danbury, CT 06810-5954 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730411372 | Robert A Rossetti | Oral & Maxillofacial Surgery | 76 Palomba Drive, Enfield, CT 06082 | 2010-02-08 |
| 1699890723 | Philip Flemming Pacelli IIi | Oral & Maxillofacial Surgery | 166 Cherry Street, Suite A, New Canaan, CT 06840 | 2007-03-20 |
| 1497838056 | Steven Reiner | Oral & Maxillofacial Surgery | 80 S Main Street, Middletown, CT 06457 | 2006-10-24 |
| 1326062738 | Roger A Lowlicht | Oral & Maxillofacial Surgery | 185 Maple Ave, North Haven, CT 06473 | 2006-07-27 |
| 1447202593 | Robert A Rossetti Dmd Md PC | Oral & Maxillofacial Surgery | 76 Palamba Drive, Enfield, CT 06082 | 2006-05-17 |
| 1629038062 | John R Kashmanian Dmd PC | Oral & Maxillofacial Surgery | 15 A Searles Rd, Pomfret Center, CT 06259 | 2006-03-27 |
| 1578540043 | Ralph Szilagyi | Oral & Maxillofacial Surgery | 25 Weston Rd, Westport, CT 06880 | 2005-12-27 |
| 1336133446 | Richard J Martin | Oral & Maxillofacial Surgery | 159 Sachem St, Norwich, CT 06360-4144 | 2005-09-02 |
| 1861762635 | Ronald B Herriott Dmd PC | Oral & Maxillofacial Surgery | 259 Farmington Ave, Bristol, CT 06010-3969 | 2012-01-10 |
| 1639457898 | David Salomon | Oral & Maxillofacial Surgery | 2560 Dixwell Ave Ste 2a, Hamden, CT 06514-1852 | 2011-07-21 |
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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.