PROFESSIONAL DENTAL ALLIANCE OF NORWALK, PLLC (NPI# 1962995449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962995449 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL DENTAL ALLIANCE OF NORWALK, PLLC |
| Other Organization Name | ALL SMILES |
| Practice Address |
761 Main Ave Ste 11 Norwalk CT 06851-1080 |
| Mailing Address |
11 S Mill St Ste 200 New Castle PA 16101-3680 |
| Practice Telephone | 2039083170 |
| Mailing Telephone | 7246982500 |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-11 |
| Authorized Official Name | ANDREW MATTA (OWNER/CMO) |
| Authorized Official Telephone | 7246982500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| All Smiles | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | PROFESSIONAL DENTAL ALLIANCE OF NORWALK, PLLC | 11 South Mill Street, Suite 200, New Castle, PA 16101 |
| Street Address |
761 MAIN AVE STE 11 |
| City | NORWALK |
| State | CT |
| Zip Code | 06851-1080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144763434 | Cynthia Eliezer | Student in an Organized Health Care Education/Training Program | 120 East Ave 2nd Flr., Norwalk, CT 06851 | 2016-11-18 |
| 1356897672 | Be Balanced Naturopathic Care Center, LLC | Naturopath | 91 East Ave, Garden Level, Norwalk, CT 06851 | 2016-08-28 |
| 1861843559 | Valerie Andree Vincent | Student in an Organized Health Care Education/Training Program | 120 East Avenue-2nd Floor, Catholic Charities, Norwalk, CT 06851 | 2016-06-24 |
| 1417333758 | Laura Rebecca Nierenberg Fishman | Marriage & Family Therapist | 161 East Avenue, Suite 101, Norwalk, CT 06851 | 2015-08-10 |
| 1487085411 | Danielle Christine Boland | Social Worker | 206 Wolfpit Avenue, Norwalk, CT 06851 | 2013-12-02 |
| 1427485846 | Michelle Clement | Technician/Technologist | 650 Main Avenue, Norwalk, CT 06851 | 2013-09-30 |
| 1932447430 | Rebecca Roessler Velasquez | Social Worker | 225 W Rocks Rd, Norwalk, CT 06851 | 2013-01-18 |
| 1275809154 | Tiffany A. Mccarty | Social Worker | 166 East Ave Ste 204, Norwalk, CT 06851 | 2012-03-26 |
| 1356573547 | Cheree Louise Fenske | Clinical Neuropsychologist | 761 Main Ave Ste 104, Norwalk, CT 06851 | 2009-08-20 |
| 1083869572 | Carol Lynne Cooper | Obstetrics & Gynecology | 17 North Ave., Norwalk, CT 06851 | 2008-11-25 |
| Find all providers in zip 06851 | ||||
| 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 |
|---|---|---|---|---|
| 1104387489 | Connecticut Dental Professionals, P.C. | Dentist | 111 East Ave Ste 200, Norwalk, CT 06851-5014 | 2019-03-28 |
| 1720560931 | Melani Fulton | Dentist | 2521 Sunset Dr Ste 2, Norwalk, IA 50211-9721 | 2018-09-04 |
| 1679078026 | Dental One LLC | Dentist | 71 East Ave Ste A, Norwalk, CT 06851-4903 | 2018-03-28 |
| 1235654096 | Eun Soo Lee | Dentist | 11818 Rosecrans Ave Ste B, Norwalk, CA 90650-4125 | 2017-08-13 |
| 1790224731 | Dan Wee Lim | Dentist | 12850 Pioneer Blvd, Norwalk, CA 90650-2876 | 2017-02-22 |
| 1285034264 | Dr. Robert C C Lee Dental Corp | Dentist | 11780 Firestone Blvd, Norwalk, CA 90650-2899 | 2014-08-27 |
| 1962843227 | Aynur Gojayeva | Dentist | 161 East Ave Ste 201, Norwalk, CT 06851-5710 | 2013-07-15 |
| 1831483312 | Sono Dental Group, LLC | Dentist | 9a Washington St, Norwalk, CT 06854-2704 | 2011-06-02 |
| 1285948448 | Mahsa Rostami | Dentist | 761 Main Ave Ste 111, Norwalk, CT 06851-1080 | 2010-07-29 |
| 1952544744 | Gudino Dental Group Inc. | Dentist | 11550 Rosecrans Ave, Suite 102, Norwalk, CA 90650-3802 | 2009-04-09 |
| Find all providers in NORWALK | ||||
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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.