Organization Active NPI

Ross J. Sanfilippo, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • New London, CT
National Provider Identifier
1144407016
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
ROSS J. SANFILIPPO, DMD
Practice address
4 Shaws Cove
Suite 203
New London, CT 06320
Phone
(860) 443-3619
Fax
(860) 443-1401
NPI assigned
Jan 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
Dr. Ross J Sanfilippo
Title
Owner
Phone
(860) 443-3619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X CT Primary

Addresses

Primary practice location

4 Shaws Cove
Suite 203
New London, CT 06320

Mailing address

4 Shaws Cove
Suite 203
New London, CT 06320
Phone (860) 443-3619

Other names 1

  • Soundview Oral & Maxillofacial Surgery Other name

National Provider Directory

National Provider Directory

Locations

4 Shaws Cv
Ste 203
New London, CT 06320
Phone (860) 443-3619

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1144407016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SHAWS COVE",
            "address_2": "SUITE 203",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "06320",
            "telephone_number": "860-443-3619",
            "fax_number": "860-443-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SHAWS COVE",
            "address_2": "SUITE 203",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "06320",
            "telephone_number": "860-443-3619",
            "fax_number": "860-443-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS J. SANFILIPPO, DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "SANFILIPPO",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-443-3619",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soundview Oral & Maxillofacial Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New London, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.