River Valley Periodontics and Implant Dentistry, LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

RIVER VALLEY PERIODONTICS AND IMPLANT DENTISTRY, LLC

Practice address

97 Elm St
Old Saybrook, CT 06475-4144

Phone

(860) 388-4439

NPI assigned

Jul 14, 2026

Organization subpart

No

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

Authorized official

Name

Shaleighne Cantner

Title

Manager

Phone

(860) 388-4439

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1783987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1003735929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 ELM ST",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064754144",
            "telephone_number": "860-388-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 ELM ST",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064754144",
            "telephone_number": "860-388-4439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "394 Salem Tpke",
            "address_purpose": "LOCATION",
            "city": "Bozrah",
            "state": "CT",
            "postal_code": "063341519",
            "country_code": "US",
            "telephone_number": "860-889-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Durham Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "CT",
            "postal_code": "064432631",
            "country_code": "US",
            "telephone_number": "203-245-4429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "744 Broad Street Ext",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "CT",
            "postal_code": "063851345",
            "country_code": "US",
            "telephone_number": "860-444-0601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "88 Beach St",
            "address_purpose": "LOCATION",
            "city": "Westerly",
            "state": "RI",
            "postal_code": "028912718",
            "country_code": "US",
            "telephone_number": "401-596-9867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RIVER VALLEY PERIODONTICS AND IMPLANT DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-14",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "CANTNER",
        "authorized_official_first_name": "SHALEIGHNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-388-4439"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.