DR. LEDJO PALO (NPI# 1891221313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891221313 |
Entity Type | Individual |
Full Name | DR. LEDJO PALO |
Credential | D.M.D. |
Practice Address |
375 Willard Ave Newington CT 06111-2300 |
Practice Telephone | 8606650444 |
Mailing Telephone | 8606650444 |
Enumeration Date | 2017-05-03 |
Last Update Date | 2020-08-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
12803 | CT | Dental Providers |
Street Address |
375 WILLARD AVE |
City | NEWINGTON |
State | CT |
Zip Code | 06111-2300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912906579 | Jeffrey J Mihalek | Obstetrics & Gynecology | 375 Willard Ave, Grove Hill Medical Center, Newington, CT 06111-2300 | 2005-07-18 |
1013446533 | Jacquelyn Phyllis Pitcher | Dentist | 375 Willard Ave, Newington, CT 06111 | 2017-06-08 |
1679021273 | Andrea Dufour | Nurse Practitioner | 375 Willard Ave, Newington, CT 06111-2300 | 2016-09-13 |
1043669153 | Starling Physicians PC | Durable Medical Equipment & Medical Supplies | 375 Willard Ave, Newington, CT 06111-2300 | 2016-06-09 |
1457739583 | Courtney Lynne Souza | Pediatrics | 375 Willard Ave, Dept of Pediatrics, Newington, CT 06111-2300 | 2015-05-08 |
1801239587 | Sehera Himani | Pediatrics | 375 Willard Ave, Newington, CT 06111-2300 | 2013-04-11 |
1558637256 | Grove Hill Medical Center PC | Durable Medical Equipment & Medical Supplies | 375 Willard Ave, Grove Hill Medical Center, Newington, CT 06111-2300 | 2012-03-27 |
1861713240 | Kristina Jean Hennessey Hill | Obstetrics & Gynecology | 375 Willard Ave, Newington, CT 06111-2300 | 2010-06-19 |
1831212539 | Kenneth Wayne Fink | Dentist | 375 Willard Ave, Newington, CT 06111-2300 | 2007-04-09 |
1609998889 | Jay Harvey Goldstein | Dentist | 375 Willard Ave, Newington, CT 06111-2300 | 2007-04-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952880056 | Insight To Wellness Therapeutic Services, LLC | Community/Behavioral Health | 66 Cedar St. Suite 201, Newington, CT 06111 | 2018-08-09 |
1356843833 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 38 Fenn Road, Newington, CT 06111 | 2018-03-01 |
1942719927 | Jessica Quintero-villa | Chiropractor | Judson Family Chiropractic, 133 Louis St., Newington, CT 06111 | 2017-09-22 |
1194245993 | Serrita Roper | Registered Nurse | 11 Edward St, Newington, CT 06111 | 2017-06-22 |
1417482522 | Aditi Thakkar | Student in an Organized Health Care Education/Training Program | 555 Willard Avenue, Newington Va Hospital, Newington, CT 06111 | 2017-04-26 |
1033562525 | Hassan Bin Attique | Student in an Organized Health Care Education/Training Program | Newington Va Hospital, Newington Vamc, Firm Chief, Firm 2, Vact Primary Care, Newington, CT 06111 | 2016-07-19 |
1013360098 | Home Care Associates of Ct 2 Inc | In Home Supportive Care | 66 Cedar Street, Unit 301, Newington, CT 06111 | 2016-07-14 |
1548623259 | Aniket Sharma | Student in an Organized Health Care Education/Training Program | Newington Va Hospital, 555 Willard Avenue, Newington Vamc, Firm Chief, Firm 2, Vact Pri, Newington, CT 06111 | 2016-03-30 |
1790104883 | Patrick Ogurick | Pediatrics | 141 Willard Avenue, Newington, CT 06111 | 2014-04-16 |
1922438217 | Susan Pollock May | Dentist | 51 Market Sq., Newington, CT 06111 | 2013-11-22 |
Find all providers in zip 06111 |
Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689805582 | Jeff Theis | Dentist | 435 Willard Ave, Newington, CT 06111-2318 | 2009-07-27 |
1952537821 | Edward Cos | Dentist | 365 Willlard Avenue, Suite 2h, Newington, CT 06111 | 2009-06-05 |
1578551677 | Robert A Ernst | Dentist | 365 Willard Ave, Suite 2h, Newington, CT 06111-2373 | 2005-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740894831 | Chia-hua Pai | Dentist | 10 Mott Ave Ste 3c, Norwalk, CT 06850-3320 | 2020-09-04 |
1699307819 | Michael Fogge | Dentist | 1527 Route 12 Ste 2, Gales Ferry, CT 06335-1800 | 2020-02-05 |
1033752613 | Gregory Augustus Mckenna | Dentist | 131 Deer Hill Ave, Danbury, CT 06810-7783 | 2019-10-25 |
1760024723 | Baliram Maraj | Dentist | 801 Plainville Ave., Farmington, CT 06032 | 2019-10-11 |
1700379765 | Emily Ding | Dentist | 241 Monroe Tpke, Monroe, CT 06468 | 2018-06-13 |
1568978476 | Modern Orthodontics LLC | Dentist | 1095 West St Ste 2, Southington, CT 06489-1023 | 2017-12-15 |
1568991636 | Bibko Orthodontics LLC | Dentist | 346 Main Ave Ste D, Norwalk, CT 06851-1591 | 2017-06-12 |
1114467164 | Consolidated Orthodontic Services, LLC | Dentist | 3 Silver Brook Ln, Torrington, CT 06790-7814 | 2017-02-23 |
1922544543 | Raptis Orthodontics | Dentist | 670 East Rd, Bristol, CT 06010-6845 | 2017-01-07 |
1538604178 | Donald C Demas, Dds, Ms, PC | Dentist | 51 Depot St Ste 505, Watertown, CT 06795-2685 | 2017-01-05 |
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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.