Dworkin Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DWORKIN DENTAL

Doing business as

Dworkin Dental

Practice address

321 Boston Post Rd Ste 12
Milford, CT 06460-2574

Phone

(203) 701-6700

NPI assigned

Mar 30, 2022

Organization subpart

No

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

Authorized official

Name

Tracey Capobianco

Title

Practice Administrator

Phone

(203) 558-5622

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dworkin Dental Doing business as

Locations

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1184364952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 BOSTON POST RD STE 12",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064602574",
            "telephone_number": "203-701-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 BOSTON POST RD STE 12",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064602574",
            "telephone_number": "203-701-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWORKIN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "CAPOBIANCO",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "203-558-5622"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CT DENTAL LICENSE",
            "identifier": "6060",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dworkin Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Helena Duhaime, DPT
• Brittany Lynn Dulac, LPC
• Katherine Dussan, BCBA
• Dva Healthcare Renal Care Inc
• Dworkin and Dworkin LLC
• Eastshore Pediatrics
• Terri Eblen, LPC
• Eliana Echeverry, M.A. CCC-SLP
• Deloretta Theresa Eckenrode, NP
• Yolani P Edirisinghe, DMD

• General Practice Dentistry in Milford, CT
• Providers in Milford, 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 Mar 30, 2022; 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.