JENNY TEKLA FEDERMAN (NPI# 1841389392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841389392 |
| Entity Type | Individual |
| Full Name | JENNY TEKLA FEDERMAN |
| Credential | DMD |
| Practice Address |
60 Old New Milford Rd Ste 1d Brookfield CT 06804-2430 |
| Mailing Address |
60 Old New Milford Road Ste 1d Brookfield CT 06776 |
| Practice Telephone | 2037408460 |
| Mailing Telephone | 2037408460 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
CT00821 | CT | Dental Providers |
| Street Address |
60 OLD NEW MILFORD RD STE 1D |
| City | BROOKFIELD |
| State | CT |
| Zip Code | 06804-2430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659374734 | Daniel Nelson Fish | Orthopaedic Surgery | 60 Old New Milford Rd, Ste 3e, Brookfield, CT 06804-2430 | 2005-05-23 |
| 1700173168 | Brookfield Medical/surgical Supplies Inc. | Pharmacy | 60 Old New Milford Rd, Suite 2b, Brookfield, CT 06804-2430 | 2011-07-06 |
| 1457646796 | Brookfield Medical/surgical Supplies, Inc. | Pharmacy | 60 Old New Milford Rd, Suite 1b, Brookfield, CT 06804-2430 | 2011-06-15 |
| 1104148675 | Robert John Daher | Orthopaedic Surgery | 60 Old New Milford Rd, Suite 3e, Brookfield, CT 06804-2430 | 2010-02-24 |
| 1437481587 | Thomas John Condon | Psychologist | 60 Old New Milford Rd, Suite 3-a, Brookfield, CT 06804-2430 | 2010-01-31 |
| 1437482775 | Ileana Velazquez | Social Worker | 60 Old New Milford Rd, Suite 3d, Brookfield, CT 06804-2430 | 2009-09-17 |
| 1598933442 | Paul Fitzgerald | Dentist | 60 Old New Milford Rd, Brookfield, CT 06804-2430 | 2008-02-13 |
| 1851444574 | John A Healy | Psychologist | 60 Old New Milford Rd, Brookfield, CT 06804-2430 | 2007-01-18 |
| 1437206042 | Thomas S Kocienda | Psychologist | 60 Old New Milford Rd, Suite 3d, Brookfield, CT 06804-2430 | 2007-01-04 |
| 1659465060 | Brookfield Medical Surgical Supplies Inc | Durable Medical Equipment & Medical Supplies | 60 Old New Milford Rd, Brookfield, CT 06804-2430 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306366620 | Tara Hanlon | Nurse Practitioner | 14 Shamrock Drive, Brookfield, CT 06804 | 2017-06-27 |
| 1558804617 | Total Assurance Home Healthcare | Respite Care | 6 Oak Branch Dr, Brookfield, CT 06804 | 2016-11-22 |
| 1154878619 | Regional Young Men's Christian Association of Western Connecticut, Inc | Health Educator | 241 Federal Road, Unit B21, Brookfield, CT 06804 | 2016-09-01 |
| 1285048330 | Altagracia Trinidad | Counselor | 40 Laurel Hill Rd Unit 308, Brookfield, CT 06804 | 2014-06-17 |
| 1619380276 | Benjamin Burke Clippinger | Orthopaedic Surgery | Greenknoll Professional Center, 60 Old New Milford Road, Suite 3e, Brookfield, CT 06804 | 2014-06-11 |
| 1801140371 | Christina M Muggeo | Physical Therapist | 60 Old New Milford Rd Ste 3a, Brookfield, CT 06804 | 2012-11-05 |
| 1952549099 | Joan P Draper | Ophthalmology | 17 Cove Rd, Brookfield, CT 06804 | 2009-01-28 |
| 1588822035 | Jillian Delorme | Psychologist | 828 Federal Rd Fl 2, Brookfield, CT 06804 | 2008-05-30 |
| 1740488212 | Nicholas Rutigliano | Physical Therapist | 3 Federal Rd Ste 100, Brookfield, CT 06804 | 2007-07-06 |
| 1851431373 | Arnold Stuart Zentner | Psychiatry & Neurology | 4 Twin Rocks Road, Brookfield, CT 06804 | 2007-02-07 |
| Find all providers in zip 06804 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144631698 | Jennifer Sinnen | Dentist | 14430 W Greenfield Ave, Brookfield, WI 53005-7036 | 2014-05-17 |
| 1487996542 | Megan Janelle Vanlieshout | Dentist | 16655 W Bluemound Rd, Ste 380, Brookfield, WI 53005-5957 | 2013-03-26 |
| 1477716504 | Angela Marie Trochlell | Dentist | 16655 W Bluemound Rd, Suite 380, Brookfield, WI 53005-5957 | 2008-07-09 |
| 1134262546 | Scott Alan Bialik | Dentist | 246 Federal Rd, Suite D 13, Brookfield, CT 06804-2647 | 2007-02-15 |
| 1841350014 | James Hugh Rollefson | Dentist | 16655 Bluemound Rd, Suite 380, Brookfield, WI 53005 | 2006-12-11 |
| 1851409957 | Ricardo E Araujo | Dentist | 17585 W North Ave, Suite 230, Brookfield, WI 53045-4365 | 2006-08-28 |
| 1134237241 | Small World Childrens Dentistry Sc | Dentist | 17585 W North Ave, Suite 230, Brookfield, WI 53045-4365 | 2006-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902426240 | River Road Pediatric Dentistry, LLC | Dentist | 865 River Rd Ste 10, Shelton, CT 06484-5464 | 2020-04-16 |
| 1326507369 | True Pediatric Dental Care LLC | Dentist | 233 Elm St Fl 2, West Haven, CT 06516-4635 | 2019-03-19 |
| 1740756345 | Grace Tylo LLC | Dentist | 35 Cold Spring Rd Ste 324, Rocky Hill, CT 06067-3163 | 2018-10-22 |
| 1932684990 | Orange Children's Dentistry, LLC | Dentist | 518 Boston Post Rd Ste 4-5, Orange, CT 06477-3554 | 2018-09-26 |
| 1992293443 | Braces On Me, P.C. | Dentist | 209 Boston Post Rd Ste 312, Milford, CT 06460-3161 | 2018-04-30 |
| 1417452541 | Bloomfield Pediatric Dentistry Pllc | Dentist | 34 Jerome Ave Ste 200, Bloomfield, CT 06002-2463 | 2018-03-29 |
| 1033622246 | Magicland Pediatric Dental LLC | Dentist | 815 Wolcott St, Waterbury, CT 06705-1301 | 2017-11-09 |
| 1023569654 | The Little Tooth Company Pediatric Dentistry LLC | Dentist | 264 Queen St, Suite A, Southington, CT 06489-1901 | 2016-10-19 |
| 1386035707 | Modern Family Dental | Dentist | 360 Boston Ave, Suite 17, Stratford, CT 06614-5213 | 2015-02-06 |
| 1053727479 | Sph3enterprise, LLC | Dentist | 194 Buckland Hills Drive, Manchester, CT 06042 | 2014-07-07 |
| Find all providers with the same taxonomy | ||||
| City | BROOKFIELD |
| Zip Code | 06804 |
Please comment or provide details below to improve the information on JENNY TEKLA FEDERMAN.
| 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.