Middesex Dental Sleep Medicine LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MIDDESEX DENTAL SLEEP MEDICINE LLC

Practice address

410 Saybrook Rd
Suite 202
Middletown, CT 06457-4777

Phone

(860) 346-3443

Fax

(860) 343-9401

NPI assigned

Sep 26, 2019

Last updated

Sep 26, 2019By 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

Kevin D. Cross, DDS

Title

Owner

Phone

(860) 346-3443

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1114578663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 SAYBROOK RD",
            "address_2": "SUITE 202",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574777",
            "telephone_number": "860-346-3443",
            "fax_number": "860-343-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 SAYBROOK RD",
            "address_2": "SUITE 202",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574777",
            "telephone_number": "860-346-3443",
            "fax_number": "860-343-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDESEX DENTAL SLEEP MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-346-3443",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Valalik Pmhnp BC
• Eric Brian Michel, D.O.
• Katherine Miciak
• Brooklyn Larisa Mickolyzck, DNP, FNP-BC
• Mid State MD, LLC
• Middlesex Cardiology Associates, PC
• Middlesex Center for Advanced Orthopedic Surgery
• Middlesex Dental Care, LLC (Middlesex Dental Care)
• Middlesex Dermatology, LLC
• Middlesex Diabetes & Endocrinology

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.