Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821008202 Individual Practitioner Male Practitioner

Dr. Stanislav Moline , DMD, MDS

Dentist - Endodontics • Ellington, CT

Professional Overview & Biography Verified Profile Summary

Dr. Stanislav Moline, DMD, MDS is a registered healthcare professional specializing in Dentist - Endodontics in Ellington, CT. Practice services are available at 2 CHUCRH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2 Chucrh St
# 670

Ellington, CT 060290670

Telephone 8600000000
Associated Practice Facility / Clinic
🏢 Endodontic Specialists Llc Facility NPI 1225399108

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Ellington, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Ellington, CT (98 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License CT 009473

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Alison Luckey-Percy , APRN

Nurse Practitioner

NPI 1184893521

Advanced Practice Registered Nurse

NPI 1639903321
NPI 1891783643

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 09, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location May 09, 2011

Registered at 2 CHUCRH ST, # 670, ELLINGTON, CT 060290670 (Tel: 8600000000)

📍
Updated Business Mailing Address May 09, 2011

Registered at PO BOX 670, ELLINGTON, CT 060290670

👤
Provider Name / Credentials Updated May 09, 2011

Recorded as STANISLAV MOLINE, DMD, MDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2011

Dentist (License #009473 in CT)

🟢
Initial NPI Registration & Enumeration August 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821008202
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2006
Last Update: May 09, 2011
Sole Proprietor: Yes

Mailing Address

Po Box 670

Ellington, CT 060290670

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.