Roberta J. Garceau, DMD

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

8143 Issued in CT

Legal business name

ROBERTA J. GARCEAU, DMD

Practice address

62 Bloomfield Ave
Windsor, CT 06095-2808

Phone

(860) 688-4325

Fax

(860) 285-8766

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Roberta J. Garceau

Title

Dentist

Phone

(860) 688-4325

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154426765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 BLOOMFIELD AVE",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952808",
            "telephone_number": "860-688-4325",
            "fax_number": "860-285-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 BLOOMFIELD AVE",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952808",
            "telephone_number": "860-688-4325",
            "fax_number": "860-285-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTA J. GARCEAU, DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARCEAU",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "860-688-4325",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CT",
            "license": "8143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ceekret Richardson
• Margarta Rivera
• Nohemy Lucia Rivera
• Cynthia D. Robbins, OTR/L
• Roberta J Garceau DMD LLC
• Barbara Robertson Edwards
• Kayla Robertson
• Kimberly Robertson
• Latoiya Teaonna Robinson-Henry, MSW
• Peter William Robinson, DMD

• Health Maintenance Organization in Windsor, CT
• Providers in Windsor, CT by specialty
• Health Maintenance Organization 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.