DR. MIMANSHA AGARWAL (NPI# 1932742947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932742947 |
| Entity Type | Individual |
| Full Name | DR. MIMANSHA AGARWAL |
| Practice Address |
1500 Albany Ave Hartford CT 06112-2113 |
| Mailing Address |
299 Colt Hwy Apt 425 Farmington CT 06032-3085 |
| Practice Telephone | 8605222000 |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 12648 | CT | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12648 | CT | Dental Providers |
| Street Address |
1500 ALBANY AVE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06112-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588005243 | Tooth & Gums Dentistry | Dentist | 1500 Albany Ave, Hartford, CT 06112-2113 | 2013-07-10 |
| 1265884209 | Richard A Fichman Md PC | Eyewear Supplier (Equipment, not the service) | 1500 Albany Ave, Hartford, CT 06112-2113 | 2016-07-01 |
| 1710369566 | Madhavi Parekh | Dentist | 1500 Albany Ave, Hartford, CT 06112-2113 | 2015-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841810355 | Ashwin Mahesh | Student in an Organized Health Care Education/Training Program | 131 Coventry Street, 2nd Floor, Burgdorf Clinic, Hartford, CT 06112 | 2020-04-24 |
| 1336600527 | Waleed Ibrahim | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic, 131 Coventry Street 2nd Floor, Hartford, CT 06112 | 2019-03-29 |
| 1740741941 | Hajra Munawar | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic 131 Coventry Street, Hartford, CT 06112 | 2019-03-29 |
| 1194191973 | Esther Wint | Nurse Practitioner | 490 Blue Ave, Hartford, CT 06112 | 2015-08-17 |
| 1194105700 | Michelle Russi | Physical Therapy Assistant | 490 Blue Hill Ave., Hartford, CT 06112 | 2015-06-09 |
| 1366858359 | Krysten N Marotta | Pharmacist | 1290 Albany Ave, Hartford, CT 06112 | 2014-07-10 |
| 1447403522 | Moon Hee Yoo | Psychiatry & Neurology | 500 Vine St., Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1992958094 | Roxann Marie Ellis-denby | Social Worker | 51 Coventry Street, Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1265590871 | The Connecticut Institute for The Blind | Intermediate Care Facility, Mentally Retarded | 120 Holcomb Street, Hartford, CT 06112 | 2006-12-05 |
| 1164580379 | Intercommunity, Inc. | Clinic/Center | 16 Coventry Street, Hartford, CT 06112 | 2006-12-04 |
| Find all providers in zip 06112 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295374296 | The Smile Studio At Bushnell Park | Dentist | 1 Gold St Ste Q, Hartford, CT 06103-2914 | 2019-12-23 |
| 1013417112 | Nicholas Oliveri | Dentist | 37 Airport Rd, Hartford, CT 06114-2002 | 2018-02-15 |
| 1295242238 | Family Dentistry of Hartford Pllc | Dentist | 19 Woodland St Ste 25, Hartford, CT 06105-2335 | 2017-12-29 |
| 1154847044 | Na Won Lee | Dentist | 191 Franklin Ave., Care Dental Center, Hartford, CT 06114 | 2017-08-22 |
| 1588005243 | Tooth & Gums Dentistry | Dentist | 1500 Albany Ave, Hartford, CT 06112-2113 | 2013-07-10 |
| 1083955348 | K & L Dental LLC | Dentist | 629 Albany Ave, Hartford, CT 06112-2334 | 2013-03-12 |
| 1518234079 | Park Street Family Dental | Dentist | 454 Park St, Hartford, CT 06106-1525 | 2011-11-28 |
| 1023325255 | Janyn Khresty Baird | Dentist | 550 Farmington Ave, Hartford, CT 06105-3049 | 2010-09-09 |
| 1407006133 | Mang Chou Shu | Dentist | 1 Financial Plz Fl 19, Hartford, CT 06103-2608 | 2008-09-30 |
| 1841454725 | Loay Hammad | Dentist | 31 William Shorty Campbell St, Hartford, CT 06106-3401 | 2008-07-10 |
| Find all providers in HARTFORD | ||||
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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.