Killingly Kids Dentist

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

KILLINGLY KIDS DENTIST

Practice address

Killingly Kids Dentist
559 Hartford Pike, Suite C
Dayville, CT 06241-0154

Phone

(617) 306-1270

NPI assigned

Dec 16, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Gursimran Ahluwalia, DMDNPI 1942511191

Title

President

Phone

(617) 306-1270

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Gursimran Singh Ahluwalia, DMD

  • Pediatric Dentistry
  • Groton, MA
  • NPI 1942511191
  NPD Authorized official

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1033878079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WILLOW WOODS DR",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015456043",
            "telephone_number": "860-932-6110",
            "fax_number": "860-932-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KILLINGLY KIDS DENTIST",
            "address_2": "559 HARTFORD PIKE, SUITE C",
            "city": "DAYVILLE",
            "state": "CT",
            "postal_code": "062410154",
            "telephone_number": "617-306-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILLINGLY KIDS DENTIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "AHLUWALIA",
        "authorized_official_first_name": "GURSIMRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-306-1270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tera Juszczyk, MSW
• Nancy Kelly, LCSW
• Marybeth L Kerr, MSW
• Killingly Board of Ed
• Killingly Dental Care, LLC
• Killingly Medical Center LLC
• Kimbal Sheffield DDS and David Caron DMD LLC
• Edward Koistinen, MS
• Mara Kornfeld, LMSW
• Jeffrey Labby

• Pediatric Dentistry in Dayville, CT
• Providers in Dayville, CT by specialty
• Pediatric Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.