Organization Active NPI

Family Dental Practice of Newington

  • Periodontics
  • Newington, CT
National Provider Identifier
1164567111
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
5407 Issued in CT
Legal business name
FAMILY DENTAL PRACTICE OF NEWINGTON
Practice address
375 Willard Ave
Newington, CT 06111-2300
Phone
(860) 665-0444
Fax
(860) 665-1465
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Lynn Micheline Almeida
Title
Office Administrator
Phone
(860) 665-0444

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 4731 CT
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 5832 CT
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 5407 CT Primary

Addresses

Primary practice location

375 Willard Ave
Newington, CT 06111-2300

Mailing address

375 Willard Ave
Newington, CT 06111-2300
Phone (860) 665-0444

National Provider Directory

National Provider Directory

Locations

375 Willard Ave
Newington, CT 06111
Phone (860) 666-5252

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1164567111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 WILLARD AVE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112300",
            "telephone_number": "860-665-0444",
            "fax_number": "860-665-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 WILLARD AVE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112300",
            "telephone_number": "860-665-0444",
            "fax_number": "860-665-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL PRACTICE OF NEWINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ALMEIDA",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "MICHELINE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "860-665-0444",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "4731",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "5832",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CT",
            "license": "5407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.