DIAMOND BRACES OF NORWALK CONNECTICUT LLC


Address: 148 East Ave, Suite 3h, Norwalk, CT 06851-5721
Phone: 2038571717

DIAMOND BRACES OF NORWALK CONNECTICUT LLC (NPI# 1710386933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710386933
Entity Type Organization
Organization Name DIAMOND BRACES OF NORWALK CONNECTICUT LLC
Practice Address 148 East Ave
Suite 3h
Norwalk
CT 06851-5721
Practice Telephone 2038571717
Practice Fax Number 7183736799
Mailing Telephone 2038571717
Mailing Fax Number 7183736799
Enumeration Date 2014-08-14
Last Update Date 2014-08-15
Authorized Official Name DR. OLEG DRUT (OWNER/PRESIDENT)
Authorized Official Telephone 2038571717
Authorized Official Credential D.D.S.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
047218-1 NY Dental Providers

Office Location

Street Address 148 EAST AVE
SUITE 3H
City NORWALK
State CT
Zip Code 06851-5721

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992707616 Richard A Stieglitz Physical Therapist 148 East Ave, Norwalk, CT 06851-5721 2005-08-12
1205201639 Sheila Norko Specialist/Technologist, Other 148 East Ave, Suite 2g, Norwalk, CT 06851-5721 2015-12-10
1912381625 Connecticut Orthopaedic Specialists, PC Orthopaedic Surgery 148 East Ave, Suite 2e, Norwalk, CT 06851-5721 2015-07-13
1942680616 Kaitlyn Foley Physician Assistant 148 East Ave, Suite 2-i, Norwalk, CT 06851-5721 2015-06-08
1619365731 Ct Recovery PC Clinic/Center 148 East Ave, Suite 1 D, Norwalk, CT 06851-5721 2014-12-23
1184029472 Ct Recovery, PC Plastic Surgery 148 East Ave, Suite 1d, Norwalk, CT 06851-5721 2014-10-29
1891128575 Dental Solutions Dentist 148 East Ave, 1c, Norwalk, CT 06851-5721 2013-08-16
1588916415 Meghan Elizabeth Sadler Physician Assistant 148 East Ave, 2l, Norwalk, CT 06851-5721 2012-10-02
1619244043 Amy Cimminello Physician Assistant 148 East Ave, Suite 1e, Norwalk, CT 06851-5721 2011-11-30
1093092165 East Avenue Pediatrics PC Pediatrics 148 East Ave, Suite 1l, Norwalk, CT 06851-5721 2011-11-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144763434 Cynthia Eliezer Student in an Organized Health Care Education/Training Program 120 East Ave 2nd Flr., Norwalk, CT 06851 2016-11-18
1356897672 Be Balanced Naturopathic Care Center, LLC Naturopath 91 East Ave, Garden Level, Norwalk, CT 06851 2016-08-28
1861843559 Valerie Andree Vincent Student in an Organized Health Care Education/Training Program 120 East Avenue-2nd Floor, Catholic Charities, Norwalk, CT 06851 2016-06-24
1417333758 Laura Rebecca Nierenberg Fishman Marriage & Family Therapist 161 East Avenue, Suite 101, Norwalk, CT 06851 2015-08-10
1487085411 Danielle Christine Boland Social Worker 206 Wolfpit Avenue, Norwalk, CT 06851 2013-12-02
1427485846 Michelle Clement Technician/Technologist 650 Main Avenue, Norwalk, CT 06851 2013-09-30
1932447430 Rebecca Roessler Velasquez Social Worker 225 W Rocks Rd, Norwalk, CT 06851 2013-01-18
1275809154 Tiffany A. Mccarty Social Worker 166 East Ave Ste 204, Norwalk, CT 06851 2012-03-26
1356573547 Cheree Louise Fenske Clinical Neuropsychologist 761 Main Ave Ste 104, Norwalk, CT 06851 2009-08-20
1083869572 Carol Lynne Cooper Obstetrics & Gynecology 17 North Ave., Norwalk, CT 06851 2008-11-25
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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740894831 Chia-hua Pai Dentist 10 Mott Ave Ste 3c, Norwalk, CT 06850-3320 2020-09-04
1568991636 Bibko Orthodontics LLC Dentist 346 Main Ave Ste D, Norwalk, CT 06851-1591 2017-06-12
1093267585 Justin Keith Bass Dentist 119 Gregory Blvd, #44, Norwalk, CT 06855 2016-10-31
1760812580 Norwalk Orthodontics Associattes Dentist 71 East Ave Ste 2q, Norwalk, CT 06851-4903 2013-11-14
1891136503 Amy Yonina Harel Dentist 4 Summer St Apt A201, Norwalk, CT 06851-4557 2013-07-10
1639481294 Aditya Chhibber Dentist 137 Benedict Ave, Norwalk, OH 44857-2340 2010-07-11
1972820678 Allen Jacobson, Dds, PC Dentist 11005 Firestone Blvd Ste 106, Norwalk, CA 90650-2224 2010-04-21
1437319803 Allen Jacobson Dentist 11005 Firestone Blvd, Norwalk, CA 90650-2224 2008-06-10
1316321573 Ct Braces Norwalk Orthodontics PC Dentist 346 Main Ave, Suite D, Norwalk, CT 06851-4903 2015-07-16
1821439084 Norwalk Orthodontics Dentist 10 Mott Ave, Suite 3c, Norwalk, CT 06850-3320 2013-07-16
Find all providers in NORWALK

Competitor

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City NORWALK
Zip Code 06851

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Dataset Information

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.

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