Fatse Dental Center LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

FATSE DENTAL CENTER LLC

Practice address

324 Elm St Ste 202a
Monroe, CT 06468-2282

Phone

(203) 601-6020

NPI assigned

Feb 6, 2024

Organization subpart

No

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

Authorized official

Name

Victoria Johnson

Title

Cro

Phone

(941) 444-0558

Specialties & licenses 1

Addresses

Other names 1

• Dental Care Alliance Other name

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1053175596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 ELM ST STE 202A",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064682282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 ELM ST STE 202A",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064682282",
            "telephone_number": "203-601-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATSE DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "CRO",
        "authorized_official_telephone_number": "941-444-0558"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care Alliance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dorothy Vivian Esposito, ANP-BC
• Brian Essenter, RPH
• Fairfield Health and Wellness Solutions, LLC
• Melissa A Fairhurst, NCC, LPC
• Family Medical Center LLC
• John G Fatse, D.M.D.
• Juno Quinn Ferraro, LMSW
• Maria L. Ferreira, M.D.
• Mark Ferry, LCSW
• Kathryn Mary Firisin, MSPT, NMD

• Dentist in Monroe, CT
• Providers in Monroe, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.