DAMON JENKINS (NPI# 1891890463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891890463 |
Entity Type | Individual |
Full Name | DAMON JENKINS |
Credential | DMD |
Practice Address |
483 West Middle Turnpike Manchester CT 06040 |
Mailing Address |
39 Buckland Street Unit 1033-4 Manchester CT 06040 |
Practice Telephone | 8606450111 |
Practice Fax Number | 8605339027 |
Mailing Telephone | 5044000682 |
Mailing Fax Number | 8605339027 |
Enumeration Date | 2006-09-14 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
009646 | CT | Dental Providers |
Street Address |
483 WEST MIDDLE TURNPIKE |
City | MANCHESTER |
State | CT |
Zip Code | 06040 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255371019 | David C Van Hoewyk | Chiropractor | 483 West Middle Turnpike, Suite 223, Manchester, CT 06040 | 2006-06-08 |
1083719652 | Daenya Edwards | Dentist | 483 West Middle Turnpike, Manchester, CT 06040 | 2006-09-14 |
1699798108 | Steven P. Chung | Dentist | 483 West Middle Turnpike, Suite 209, Manchester, CT 06040 | 2006-07-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
Find all providers in zip 06040 |
Taxonomy Code | 1223P0700X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Prosthodontics |
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073741104 | Ramzi Hindieh | Dentist | 483 Middle Tpke W, Suite 309, Manchester, CT 06040-3863 | 2009-06-26 |
1902083033 | George A. Biron | Dentist | 1 Elliot Way, Elliot Hospital, Manchester, NH 03103 | 2008-01-31 |
1518037522 | Darryl Austin Simms | Dentist | 599 Main St, Manchester, CT 06040-5156 | 2006-11-08 |
1124039003 | Richard G Berube | Dentist | 50 Bridge St, Manchester, NH 03101-1699 | 2006-08-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063802221 | Benjanin M Frank | Dentist | 105 A Newton Road, Suite 4, Danbury, CT 06810-1603 | 2015-01-27 |
1801133293 | Ajay Kumar Dhingra | Dentist | 263 Farmington Ave Rm L6053, Farmington, CT 06030-1615 | 2013-01-06 |
1093085144 | Joel M Leon | Dentist | 138 Milbank Ave, Greenwich, CT 06830-6626 | 2012-01-06 |
1477751758 | Guillermo Zapata | Dentist | 25 Glenbrook Rd, Apt. 534, Stamford, CT 06902-2871 | 2007-07-06 |
1366651663 | Gary Edward Horblitt | Dentist | 2226 Black Rock Tpke, Fairfield, CT 06825 | 2007-05-22 |
1831304930 | Andrew Joseph Ponichtera | Dentist | 373 Hopmeadow St, Weatogue, CT 06089-9717 | 2007-05-11 |
1326268020 | Ervin Braun | Dentist | 24 Old Kings Hwy S, Darien, CT 06820-4537 | 2007-04-26 |
1447479233 | Dimitri Perdikis | Dentist | 820 Farmington Ave, West Hartford, CT 06119-1506 | 2007-04-24 |
1699822155 | Diane Elizabeth Gawronski | Dentist | 14 Westbrook Rd, Centerbrook, CT 06409 | 2007-01-05 |
1346305802 | Thomas D. Taylor | Dentist | Uconn Health Ctr, 263 Farmington Avenue, Mc-3915, Farmington, CT 06030-3915 | 2006-12-26 |
Find all providers with the same taxonomy |
City | MANCHESTER |
Zip Code | 06040 |
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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.