Avon Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AVON FAMILY DENTISTRY

Practice address

44 Dale Rd
Avon, CT 06001-3612

Phone

(860) 677-6405

Fax

(860) 677-1189

NPI assigned

Jan 25, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Collin B. Sanford, D.M.D.NPI 1124029665

Title

Dentist

Phone

(860) 677-6405

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Collin B Sanford, D.M.D.

  • General Practice Dentistry
  • Avon, CT
  • NPI 1124029665
  Authorized official Same address or phone

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063567246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 DALE RD",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013612",
            "telephone_number": "860-677-6405",
            "fax_number": "860-677-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 DALE RD",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013612",
            "telephone_number": "860-677-6405",
            "fax_number": "860-677-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVON FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANFORD",
        "authorized_official_first_name": "COLLIN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "860-677-6405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "0236292",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avon Convalescent Home, Inc. (Avon Health Center)
• Avon Dental Group, P.C.
• Avon Eye Associates LLC (Avon Vision Associates)
• Avon Eye Care, LLC
• Avon Family and Cosmetic Dentistry LLC
• Avon Family Health, LLC
• Avon Foot Care PC
• Avon Medical Professionals, LLC
• Avon Oral and Maxillofacial Surgery, LLP
• Avon Pediatrics, LLC

• General Practice Dentistry in Avon, CT
• Providers in Avon, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.