CENTRAL CT. PEDIATRIC DENTISTRY (NPI# 1871747980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871747980 |
| Entity Type | Organization |
| Organization Name | CENTRAL CT. PEDIATRIC DENTISTRY |
| Practice Address |
828 Newfield St Middletown CT 06457-1857 |
| Practice Telephone | 8606130553 |
| Mailing Telephone | 8606130553 |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2008-11-17 |
| Authorized Official Name | DR. ROBERT R. GATEHOUSE (PARTNER) |
| Authorized Official Telephone | 8606130553 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
5145 | CT | Dental Providers |
| Street Address |
828 NEWFIELD ST |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-1857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699766204 | Daniel James Shoemaker | Dentist | 828 Newfield St, Middletown, CT 06457-1857 | 2005-11-02 |
| 1750683108 | Tiffany Haim | Dentist | 828 Newfield St, Middletown, CT 06457-1857 | 2010-11-17 |
| 1811209604 | Amy Maria O'callaghan | Dentist | 828 Newfield St, Middletown, CT 06457-1857 | 2010-07-08 |
| 1396736567 | Robert Richard Gatehouse | Dentist | 828 Newfield St, Middletown, CT 06457-1857 | 2005-11-04 |
| 1134110745 | Z Christopher Religa | Dentist | 828 Newfield St, Middletown, CT 06457-1857 | 2005-11-02 |
| 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 | 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 |
|---|---|---|---|---|
| 1184160806 | Jordan Marie Britt | Dentist | 130 Evergreen Rd Ste 100, Middletown, KY 40243-1480 | 2017-01-19 |
| 1962678276 | Rodrell S. Brown | Dentist | 8 Underhill Rd, Apt 6, Middletown, NY 10940-7097 | 2008-05-06 |
| 1407907355 | Joel Franklin Weintraub | Dentist | 789 East Main St., Middletown, NY 10940-0270 | 2007-01-16 |
| 1770542235 | William Patrick Noonan | Dentist | 210 S Breiel Blvd, Middletown, OH 45044-5157 | 2006-03-22 |
| 1699766204 | Daniel James Shoemaker | Dentist | 828 Newfield St, Middletown, CT 06457-1857 | 2005-11-02 |
| 1588114227 | Sweet Tooth Pediatric Dentistry | Dentist | 583 Saybrook Rd, Middletown, CT 06457-4718 | 2016-10-05 |
| 1518326693 | Patricia A. Carta, Dmd LLC | Dentist | 583 Saybrook Rd, Middletown, CT 06457-4718 | 2016-02-17 |
| 1790143402 | Hudson Valley Pediatric Dental, Pllc | Dentist | 75 Crystal Run Rd, Suite 235, Middletown, NY 10941-7000 | 2016-02-09 |
| 1992046635 | Erica Pitera | Dentist | 583 Saybrook Rd, Middletown, CT 06457-4718 | 2013-03-05 |
| 1013277037 | Mark M. Dawoud | Dentist | 75 Dolson Ave, Middletown, NY 10940-6501 | 2012-05-23 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
Please comment or provide details below to improve the information on CENTRAL CT. PEDIATRIC DENTISTRY.
| 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.