Organization Active NPI

Geoffrey M. Drawbridge, D.D.S., P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Naugatuck, CT
National Provider Identifier
1043479199
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3643 Issued in CT
Legal business name
GEOFFREY M. DRAWBRIDGE, D.D.S., P.C.
Practice address
577 N Church St
Naugatuck, CT 06770-2845
Phone
(203) 729-1697
Fax
(203) 729-0336
NPI assigned
Jun 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Authorized official

Name
Dr. Geoffrey M. Drawbridge, D.D.S.
Title
President
Phone
(203) 729-1697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 3643 CT Primary

Addresses

Primary practice location

577 N Church St
Naugatuck, CT 06770-2845

Mailing address

577 N Church St
Naugatuck, CT 06770-2845
Phone (203) 729-1697

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1043479199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 N CHURCH ST",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067702845",
            "telephone_number": "203-729-1697",
            "fax_number": "203-729-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 N CHURCH ST",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067702845",
            "telephone_number": "203-729-1697",
            "fax_number": "203-729-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEOFFREY M. DRAWBRIDGE, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "DRAWBRIDGE",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-729-1697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "3643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naugatuck, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; 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.