Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255590170 Individual Practitioner Female Practitioner

Dr. Lyly E Rodriguez , DDS

Dentist • New Haven, CT

Professional Overview & Biography Verified Profile Summary

Dr. Lyly Rodriguez, DDS is a registered healthcare professional specializing in Dentist in New Haven, CT. Practice services are available at 400 COLUMBUS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

400 Columbus Ave

New Haven, CT 065191233

Telephone 2035033250
Fax 2035033254
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in New Haven, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 12.8 Yrs
Regional Practice Density
31 Specialists

Practicing in New Haven, CT (912 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CT 10362

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
004235893 (CT)

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003197849

Bachelor of Arts

Oluremi Aliyu

Internal Medicine

NPI 1023083771
Pamela Rule , FNP-BC

Nurse Practitioner - Family

NPI 1033498845

Family Nurse Practitioner (Board Certified)

Robin Goldberg , DENTIST

Dentist - General Practice

NPI 1043209091
Linda Haas

Counselor - Professional

NPI 1073656229
Eileen Bonyai , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1114083664

Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 25, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 25, 2012

Registered at 400 COLUMBUS AVE, NEW HAVEN, CT 065191233 (Tel: 2035033250)

📍
Updated Business Mailing Address January 25, 2012

Registered at 400 COLUMBUS AVE, NEW HAVEN, CT 065191233 (Tel: 2035033250)

👤
Provider Name / Credentials Updated January 25, 2012

Recorded as LYLY RODRIGUEZ, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2012

Dentist (License #10362 in CT)

🟢
Initial NPI Registration & Enumeration June 05, 2008

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: 1255590170
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2008
Last Update: January 25, 2012
Sole Proprietor: No

Mailing Address

400 Columbus Ave

New Haven, CT 065191233

Phone: 2035033250

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.