John Dannon, DMD
Individual provider Active NPI General Practice Dentistry · Canaan, CT
NPI 1003044157 · NPPES record last updated Jun 23, 2014
Key facts
- NPI
- 1003044157
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 10357 (CT)
- Practice address
- 60 Church St
Canaan, CT 06018-2481 - Phone
- (347) 267-1699
- NPI assigned
- Jun 29, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150521001956 | CT | Order and Referring Only - Dentist |
3375863962 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Housatonic Valley Dental Care | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10357 | CT | Yes |
Addresses
Primary practice location
60 Church St
Canaan, CT 06018-2481
Mailing address
60 Church St
Canaan, CT 06018-2481
Phone (347) 267-1699
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008032193 | Medicaid | CT |
Other providers in Canaan, CT
- Brittanie Cavanaugh
- Community Health and Wellness Center of Greater Torrington Inc
- Community Residences, Inc.
- Connecticut Elder Care LLC
- William R Cummiskey
- Candace Marie Dean
- Dennis Kobylarz MD PC
- Garrett Thomas Deutermann
- Ashleigh Dilaurenzio
- Rita-Marie Doyle-Staino
All providers in Canaan, CT · General Practice Dentistry in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.