DURHAM DENTAL LLC (NPI# 1790999019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790999019 |
| Entity Type | Organization |
| Organization Name | DURHAM DENTAL LLC |
| Practice Address |
360 D Main Street Durham CT 06422 |
| Mailing Address |
Po Box 177 360 D Main Street Durham CT 06422 |
| Practice Telephone | 8603491123 |
| Practice Fax Number | 8603492040 |
| Mailing Telephone | 8603491123 |
| Mailing Fax Number | 8603492040 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. WILLIAM J WITKOWSKI (DENTIST) |
| Authorized Official Telephone | 8603491123 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 5206 | CT | Dental Providers |
| Y | 122300000X | Dentist | 5860 | CT | Dental Providers |
| Street Address |
360 D MAIN STREET |
| City | DURHAM |
| State | CT |
| Zip Code | 06422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942429014 | Mhs Primary Care | Physician Assistant | 6 Main St., Durham, CT 06422 | 2007-04-25 |
| 1407490717 | Sharon Jean Koch | Social Worker | 80 Plains Rd, Unit 1, Essex, CT 06422 | 2019-10-30 |
| 1013343334 | William Allen Gillespie | Pediatrics | 256 Main St, Durham, CT 06422 | 2013-09-18 |
| 1386993574 | Brownstone Psychological Associates, LLC | Psychologist | 199 Main Street, Durham, CT 06422 | 2012-09-03 |
| 1265469068 | Bradford W Wilkinson | Family Medicine | 6 Main St, Durham, CT 06422 | 2006-06-27 |
| 1851640148 | Debra Shepard Nelson | Psychologist | 199 Main Street, Durham, CT 06422-0002 | 2012-09-03 |
| 1457774978 | Karen Otte | Social Worker | 525 New Haven Rd., Durham, CT 06422-0236 | 2014-02-04 |
| 1396746400 | Amit Patel | Dentist | 28 Elihu Dr, Durham, CT 06422-1025 | 2005-08-10 |
| 1730458068 | Diane Adele Mount Desroches | Registered Nurse | 459r Wallingford Rd, Durham, CT 06422-1124 | 2011-12-15 |
| 1811250632 | Angela Andrade | Social Worker | 459r Wallingford Rd, Durham, CT 06422-1124 | 2012-06-18 |
| Find all providers in zip 06422 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689291494 | Savannah Puett | Dentist | 3811 Sw Durham Dr, Durham, NC 27707-6510 | 2020-06-26 |
| 1316561640 | Anna Kihm Mcilwain | Dentist | 2221 Charlotte St, Durham, NC 27705-2027 | 2020-06-02 |
| 1144882051 | Daniel Driskill, Dds, P.a. | Dentist | 5606 Nc Highway 55, Durham, NC 27713-4475 | 2019-07-01 |
| 1073090817 | Durham Dental, Pllc | Dentist | 360 Main St Ste D, Durham, CT 06422-1644 | 2018-07-24 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1083107619 | Joseph Tanner Anderson | Dentist | 260 Leigh Farm Rd Apt 108, Durham, NC 27707-8121 | 2018-06-08 |
| 1962994392 | Alexander Hunt | Dentist | 1622 Nc-54, Durham, NC 27713 | 2018-06-01 |
| 1558852939 | Alterman & Dhillon Piedmont, Pplc | Dentist | 202 Nc-54, Ste 201 & 202, Durham, NC 27713 | 2018-05-22 |
| 1912427766 | Pratik Gupta | Dentist | 202 W Nc Highway 54 Ste 201, Durham, NC 27713-7564 | 2017-06-22 |
| 1841729878 | Payam Aliabad | Dentist | 8 Monarch Way, Durham, NC 27713-4324 | 2017-06-04 |
| Find all providers in DURHAM | ||||
Please comment or provide details below to improve the information on DURHAM DENTAL LLC.
| 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.