DR. KEVIN M O'CONNELL (NPI# 1710012497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710012497 |
| Entity Type | Individual |
| Full Name | DR. KEVIN M O'CONNELL |
| Credential | D.D.S. |
| Practice Address |
149-4 East Main Street Clinton CT 06413 |
| Mailing Address |
149 E Main St Ste 4 Clinton CT 06413-2103 |
| Practice Telephone | 8606695756 |
| Practice Fax Number | 8606643937 |
| Mailing Telephone | 8606695756 |
| Mailing Fax Number | 8606643937 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2014-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
009186 | CT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469477 | Kevin William O'connell | Physician Assistant | 325 Cedar Ridge Dr, Glastonbury, CT 06033-1817 | 2019-10-19 |
| 1841704285 | Kevin Bryon O'connell | Massage Therapist | 370 Middletown Blvd Ste 508, Langhorne, PA 19047-1840 | 2017-11-21 |
| 1588701791 | Kevin James O'connell | Counselor | 16 Bayview Rd, Durham, NH 03824-2406 | 2007-01-30 |
| 1639141807 | Kevin M O'connell | Emergency Medicine | 7102 Mineral Point Road, Madison, WI 53717-1706 | 2006-02-02 |
| 1245554971 | Kevin M O'connell | Occupational Therapist | 635 Belle Terre Rd, Suite 105, Port Jefferson, NY 11777-1935 | 2010-03-24 |
| 1720262686 | Kevin A. O'connell | Otolaryngology | 400 N Main St, Warsaw, NY 14569-1025 | 2007-12-27 |
| 1194755702 | Kevin J O'connell | Family Medicine | 425 Wind Ridge Dr, Wausau, WI 54401-4149 | 2006-07-03 |
| 1396705950 | Kevin J O'connell | Dentist | 1100 Tunnel Rd, Attn Dental Clinic, Asheville, NC 28805-2043 | 2006-03-27 |
| 1295703858 | Kevin J O'connell | Urology | 911 E 20th St Ste 501, Sioux Falls, SD 57105-1047 | 2006-03-09 |
| 1447225941 | Kevin P. O'connell | Emergency Medicine | 200 High Service Ave, North Providence, RI 02904-5113 | 2006-02-20 |
| Street Address |
149-4 EAST MAIN STREET |
| City | CLINTON |
| State | CT |
| Zip Code | 06413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609358050 | Fallon Callahan | Pharmacist | 136 Samson Rock Drive, Madison, CT 06413 | 2018-09-02 |
| 1659814366 | A Behavioral Apporach | Behavioral Analyst | 4 Laconia Dr, Clinton, CT 06413 | 2016-11-29 |
| 1255786638 | The Vogl Program | Early Intervention Provider Agency | 15 Hammock Pkwy, Clinton, CT 06413 | 2016-05-04 |
| 1508048356 | Dr. Andrew M. Berliner | Podiatrist | 246 East Main Street, Suite 2, Clinton, CT 06413 | 2007-12-04 |
| 1306067624 | Julia S Tucker | Marriage & Family Therapist | 162 B East Main Street, Clinton, CT 06413 | 2007-05-02 |
| 1215099411 | Edward I Winokur Md | Family Medicine | 27 Commerce Street, Clinton, CT 06413 | 2006-12-14 |
| 1366518904 | Catherine L Alder | Social Worker | 12 Bargate Road, Clinton, CT 06413 | 2006-11-27 |
| 1033282306 | Child & Adult Orthodontics PC | Dentist | 248 East Main St, Clinton, CT 06413 | 2006-11-16 |
| 1780783738 | Kenneth Steven Wein | Nurse Anesthetist, Certified Registered | 8 Osprey Com, Clinton, CT 06413 | 2006-09-22 |
| 1528171675 | Arthur Edward Wilk Jr. | Dentist | 34 West Main St, Clinton, CT 06413 | 2006-08-15 |
| Find all providers in zip 06413 | ||||
| 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 |
|---|---|---|---|---|
| 1740898584 | Jamie Beavers Dds, P.a. | Dentist | 354 Main Street, Clinton, AR 72031 | 2020-07-17 |
| 1376012724 | John Melvin Goolsby Jr. | Dentist | 457 Highway 80 East, Clinton, MS 39056 | 2018-11-15 |
| 1508386616 | Blaire Alford | Dentist | 380 Highway 80 E Ste A, Clinton, MS 39056-4748 | 2017-06-21 |
| 1811427677 | Total You Family Dentistry | Dentist | 9135 Piscataway Rd Ste 105, Clinton, MD 20735-2548 | 2017-06-14 |
| 1114386802 | Christopher A Fallago | Dentist | 8 E Main St Ste 202, Clinton, CT 06413-2058 | 2016-02-23 |
| 1245636174 | Rick Canty | Dentist | 201a S Washington St, Clinton, KY 42031-1440 | 2014-11-04 |
| 1962830349 | Drs. Roh, Park and Hwang, LLC | Dentist | 7700 Old Branch Ave Ste E102, Clinton, MD 20735-1628 | 2013-10-23 |
| 1912243247 | Clinton Dental Group, LLP | Dentist | 1737 North 2000 West, Suite G, Clinton, UT 84015 | 2012-12-13 |
| 1346504230 | Paul N Singh | Dentist | 8913 Woodyard Rd, Clinton, MD 20735-4257 | 2012-06-26 |
| 1497040489 | Beautiful Smiles, L.L.C. | Dentist | 9001 Stuart Ln, Clinton, MD 20735-2744 | 2011-06-17 |
| Find all providers in CLINTON | ||||
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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.