NPIMap

Organization Active NPI

Candlewood Gentle Dental

  • Dentist
  • New Fairfield, CT
National Provider Identifier
1003332487
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CANDLEWOOD GENTLE DENTAL
Practice address
100 State Route 37 Ste 104
New Fairfield, CT 06812-4024
Phone
(203) 746-2459
NPI assigned
Aug 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kenneth Scott Sangiacomo, D.M.D.
Title
Owner
Phone
(203) 746-2459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

100 State Route 37 Ste 104
New Fairfield, CT 06812-4024

Mailing address

100 State Route 37 Ste 104
New Fairfield, CT 06812-4024
Phone (203) 746-2459

National Provider Directory

National Provider Directory

Locations

100 State Route 37
Ste 104
New Fairfield, CT 06812
Phone (203) 746-2459

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003332487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STATE ROUTE 37 STE 104",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068124024",
            "telephone_number": "203-746-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STATE ROUTE 37 STE 104",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068124024",
            "telephone_number": "203-746-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDLEWOOD GENTLE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SANGIACOMO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-746-2459",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.