DR. VIDUSHI GUPTA (NPI# 1790212348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790212348 |
| Entity Type | Individual |
| Full Name | DR. VIDUSHI GUPTA |
| Credential | D.M.D |
| Practice Address |
546 S Broad St Ste 2d Meriden CT 06450-6601 |
| Practice Telephone | 2036301312 |
| Mailing Telephone | 2036301312 |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2020-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
2901022361 | MI | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
546 S BROAD ST STE 2D |
| City | MERIDEN |
| State | CT |
| Zip Code | 06450-6601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861056525 | Oak Counseling Services LLC | Counselor | Oak Counseling Services, LLC, 97 East Main St. (suite 1h), Meriden, CT 06450 | 2019-04-29 |
| 1467969253 | Midstate Arc | Day Training, Developmentally Disabled Services | 200 Research Pkwy, Meriden, CT 06450 | 2018-01-03 |
| 1144674672 | Felistas Mazhandu | Nurse Practitioner | 53 Church Hill Chase, Meriden, CT 06450 | 2016-04-21 |
| 1639557390 | D J Park PC | Dentist | 490-19 South Broad Street, Meriden, CT 06450 | 2015-05-14 |
| 1912393844 | Elliott Lacki | Psychologist | 1355 N Broad St, Meriden, CT 06450 | 2015-04-07 |
| 1124379797 | Jamie Anne Gargano | Social Worker | 538 Preston Avenue, Meriden, CT 06450 | 2012-09-24 |
| 1760738025 | Psychologist Adriana L Gonzalez Phd Pllc | Clinic/Center | 85 Hillcrest Terrace, Meriden, CT 06450 | 2012-07-24 |
| 1174888622 | Dong Jin Park | Dentist | 490 S Broad St, Meriden, CT 06450 | 2012-07-11 |
| 1710253182 | Adriana Laura Gonzalez | Psychologist | 85 Hillcrest Ter, Meriden, CT 06450 | 2012-03-29 |
| 1285864199 | Crystal Ann Herdman | Occupational Therapist | 33 Cone Avenue, Meriden, CT 06450 | 2009-07-27 |
| Find all providers in zip 06450 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699855676 | Fredric Michael Kudish | Dentist | 415 Broad St, Meriden, CT 06450 | 2006-10-16 |
| 1134222987 | Marianne Murray Urbanski | Dentist | 546 S Broad St, Suite 3a, Meriden, CT 06450-6600 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384966 | Connecticut Periodontal & Implant Associates | Dentist | 1080 Day Hill Rd Ste 101, Windsor, CT 06095-1781 | 2020-07-23 |
| 1184057192 | Hamden Family Dental Center | Dentist | 4193 Whitney Ave, Hamden, CT 06518-1212 | 2013-08-13 |
| 1649618901 | Avon Center Dentistry | Dentist | 19 Ensign Drive, Avon, CT 06001 | 2013-06-10 |
| 1487900528 | Amazing Smiles LLC | Dentist | 148 East Ave Ste 1b, Norwalk, CT 06851-5727 | 2012-07-26 |
| 1851614002 | Patricia I Diaz-moreno | Dentist | 263 Farmington Ave # Mc2820, Farmington, CT 06030-2820 | 2010-03-02 |
| 1003045675 | Sejal Thacker | Dentist | 82 Spring Lane, West Hartford, CT 06107 | 2009-07-04 |
| 1013144039 | Stella L. Laskowski | Dentist | 74 Palomba Drive, Enfield, CT 06082 | 2009-06-17 |
| 1407019557 | Nicole Ann Marquis | Dentist | 51 Boston Post Rd, Suite 10, Madison, CT 06443-2155 | 2008-07-09 |
| 1851562466 | Arthur Fred Dean | Dentist | 489 Route 184, Suite 201, Groton, CT 06340-6227 | 2008-03-23 |
| 1811171150 | Lawrence Delibero | Dentist | 17 1/2 Elm St, New Canaan, CT 06840-5502 | 2007-12-21 |
| Find all providers with the same taxonomy | ||||
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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.