| University Dentists-school Of Dental Medicine | |
|
263 Farmington Ave Mc2105 Farmington CT 06030-0001 | |
| (860) 679-2464 | |
| (860) 679-7507 |
| Full Name | University Dentists-school Of Dental Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 263 Farmington Ave, Farmington, Connecticut |
| Authorized Official Name and Position | Steven M Lepowsky (ASSOCIATE DEAN FOR CLINICAL AFFAIRS) |
| Authorized Official Contact | 8606794885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Dentists-school Of Dental Medicine 263 Farmington Ave Attn: Ellie Atkins Farmington CT 06030-0001 Ph: (860) 679-2207 | University Dentists-school Of Dental Medicine 263 Farmington Ave Mc2105 Farmington CT 06030-0001 Ph: (860) 679-2464 |
| NPI Number | 1922029768 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 08/02/2017 |
| Medicare PECOS PAC ID | 6800167172 |
|---|---|
| Medicare Enrollment ID | O20170804000071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922029768 | NPI | - | NPPES |
| 004010807 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0330 (Connecticut) | Primary |
| Provider Name | Rajesh V Lalla |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1326044348 PECOS PAC ID: 4880658392 Enrollment ID: I20041115001044 |
| Provider Name | David M Shafer |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1528065992 PECOS PAC ID: 6507946548 Enrollment ID: I20080103000536 |
| Provider Name | Easwar Natarajan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548473523 PECOS PAC ID: 1557424496 Enrollment ID: I20090120000412 |
| Provider Name | Joseph Piecuch |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1396775375 PECOS PAC ID: 9931264405 Enrollment ID: I20090217000312 |
| Provider Name | Alan G Lurie |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1003805516 PECOS PAC ID: 1254482169 Enrollment ID: I20090706000089 |
| Provider Name | Ellen Eisenberg |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1013913367 PECOS PAC ID: 7113062340 Enrollment ID: I20100226000523 |
| Provider Name | Robert J Weinstock |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1023426392 PECOS PAC ID: 3476773144 Enrollment ID: I20140930002678 |
| Provider Name | Kandasamy Rengasamy |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1134321318 PECOS PAC ID: 3476879198 Enrollment ID: I20150224000152 |
| Provider Name | Satyashankara Tadinada |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1124333265 PECOS PAC ID: 1052634235 Enrollment ID: I20151209000285 |
| Provider Name | Christy M Lottinger |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1881034262 PECOS PAC ID: 1052549185 Enrollment ID: I20170830001652 |
| Provider Name | Steven M Lepowsky |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1396800942 PECOS PAC ID: 5799007050 Enrollment ID: I20170921001262 |
| Provider Name | Seema Kurup |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1831681089 PECOS PAC ID: 7719239938 Enrollment ID: I20181016001483 |
| Provider Name | Reju Palakatt Joy |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1609322965 PECOS PAC ID: 6608163076 Enrollment ID: I20210707000686 |
| Provider Name | Sophia Saeed |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1942450416 PECOS PAC ID: 3577627454 Enrollment ID: I20211117001713 |
| Provider Name | Prazwala Chirravur |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1801356811 PECOS PAC ID: 9335516129 Enrollment ID: I20221108002063 |
| Provider Name | Jenna E Ward |
|---|---|
| Provider Type | Practitioner - Oral And Maxillofacial Pathology |
| Provider Identifiers | NPI Number: 1649678970 PECOS PAC ID: 6103111935 Enrollment ID: I20240124001561 |
Pure Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Forest Park Dr Ste 1, Farmington, CT 06032 Phone: 860-558-4473 | |
Dental Associates Dental Clinic Medicare: Medicare Enrolled Practice Location: 291 Farmington Ave, Farmington, CT 06032 Phone: 860-677-8666 Fax: 860-677-5839 | |
Peter Peterson & Jesse Sorrentino P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 291 Farmington Ave, Farmington, CT 06032 Phone: 860-677-8747 Fax: 860-674-9670 | |
Compassion Dental 06032 Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 Main St, Farmington, CT 06032 Phone: 860-470-3660 | |
Farmington Family Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Melrose Dr, Farmington, CT 06032 Phone: 860-677-1316 Fax: 860-677-4537 | |
Connecticut Maxillofacial Surgeons, Llc Dental Clinic Medicare: Medicare Enrolled Practice Location: 291 Farmington Ave, Farmington, CT 06032 Phone: 860-678-7528 Fax: 860-678-7933 | |
Smiles By Suzy Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 S East Rd, Farmington, CT 06032 Phone: 860-676-0050 |