PETER B. NELSON (NPI# 1720208200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720208200 |
| Entity Type | Individual |
| Full Name | PETER B. NELSON |
| Credential | D.D.S. |
| Practice Address |
717 Newfield St Middletown CT 06457-1815 |
| Practice Telephone | 8603471227 |
| Practice Fax Number | 8603475717 |
| Mailing Telephone | 8603471227 |
| Mailing Fax Number | 8603475717 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
004736 | CT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508196437 | Peter S Nelson | Dentist | 5750 W Thunderbird Rd Ste H850, Glendale, AZ 85306-4694 | 2009-12-25 |
| 1942227442 | Peter J Nelson | Anesthesiology | 2605 Baumgartner Dr, La Crosse, WI 54603-8503 | 2006-07-17 |
| 1043209307 | Peter Richard Nelson | Surgery | 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104-5635 | 2005-10-19 |
| 1982697249 | Peter Nelson | Psychologist | 34 Parkview Dr, Bronxville, NY 10708-4608 | 2005-08-23 |
| 1174043038 | Peter Nathanael Nelson | Physician Assistant | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2017-06-22 |
| 1982145728 | Peter Nelson | Physical Therapist | 1720 S Cliff Ave, Sioux Falls, SD 57105-2129 | 2017-03-13 |
| 1518335967 | Peter Nelson | Counselor | 460 Quincy Ave, Quincy, MA 02169-8130 | 2015-09-02 |
| 1457610784 | Peter Nelson | Internal Medicine | 500 Lincoln Park Blvd Ste 110, Kettering, OH 45429-6410 | 2012-05-07 |
| 1083862122 | Peter Scott Nelson | Physician Assistant | 71 Haynes St., Manchester, CT 06040-4188 | 2008-09-03 |
| 1295926574 | Peter Scott Nelson | Dermatology | 3030 North St, Suite 430 (beaumont Dermatology & Family Practice), Beaumont, TX 77702-1433 | 2007-08-05 |
| Street Address |
717 NEWFIELD ST |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-1815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164086609 | Middletown Smiles, LLC | Clinic/Center | 717 Newfield St, Middletown, CT 06457-1815 | 2019-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| 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 |
|---|---|---|---|---|
| 1215546023 | Jennifer Yu | Dentist | 3421 Towne Blvd, Middletown, OH 45005-5507 | 2020-07-28 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1235379488 | Hua-yu Steven Liao | Dentist | 345 Middlewood Rd, Middletown, NJ 07748-1332 | 2009-03-01 |
| 1871731141 | Loni Ann Musi | Dentist | 594 East Main Street, Middletown, NY 10940 | 2009-01-26 |
| 1568625184 | Middletown Dental Associates | Dentist | 2207 Central Ave, Middletown, OH 45044-4603 | 2008-07-03 |
| 1932361235 | Jonathan William Titus | Dentist | 4573 E State Road 236, Middletown, IN 47356-9207 | 2008-06-27 |
| 1326205105 | Matthew Lee Seda | Dentist | 106 Saint Annes Church Rd, Middletown, DE 19709-1495 | 2008-05-20 |
| 1356547715 | Sophia Husain | Dentist | 201 Carter Dr, Suite A, Middletown, DE 19709-5843 | 2007-06-22 |
| 1609070036 | David Leo Ainbinder | Dentist | 2 Albert St, Middletown, NY 10940-3902 | 2007-06-11 |
| 1982815734 | Middletown Family Dental | Dentist | 236 N Breiel Blvd, Middletown, OH 45042-3808 | 2007-05-24 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
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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.