St. Bernard Dentistry PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ST. BERNARD DENTISTRY PLLC

Doing business as

Windsor Prosthodonic dentistry

Practice address

697 Poquonock Ave Unit 7
Windsor, CT 06095-2249

Phone

(860) 219-0933

NPI assigned

Dec 19, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Lisa St. Bernard, DMDNPI 1275166712

Title

Member /Owner

Phone

(860) 751-2470

Specialties & licenses 1

Addresses

Other names 1

• Windsor Prosthodonic dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa St.Bernard, DMD

  • Prosthodontics
  • Windsor, CT
  • NPI 1275166712
  NPD Authorized official

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1013629369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BRIGHTON DR",
            "city": "EAST GRANBY",
            "state": "CT",
            "postal_code": "060269423",
            "telephone_number": "860-751-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 POQUONOCK AVE UNIT 7",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952249",
            "telephone_number": "860-219-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. BERNARD DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "ST. BERNARD",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MEMBER /OWNER",
        "authorized_official_telephone_number": "860-751-2470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsor Prosthodonic dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Spark of Life in Home Care Services LLC
• Spectrum Psychotherapy Centers, LLC
• Emily Spencer, OTR/L
• Lauren Marie Spina, COTA
• Patrick Sponzo
• Lisa St.Bernard, DMD
• Karen P Stackow
• Charles Dominick Stagnitti, MS CCC-SLP
• Jean M Staniewicz
• Susan Stanton, LCSW

• Dental Clinic/Center in Windsor, CT
• Providers in Windsor, CT by specialty
• Dental Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.