Dental Vision,PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL VISION,PC

Doing business as

Family Dentistry of Derby

Practice address

115 New Haven Ave
Derby, CT 06418-2154

Phone

(203) 751-9667

NPI assigned

Aug 3, 2022

Last updated

Sep 13, 2022By 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

Dr. Tetyana Pohorletska, DDSNPI 1306179213

Title

Manager

Phone

(347) 323-1715

Specialties & licenses 1

Addresses

Other names 1

• Family Dentistry of Derby Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tetyana Pohorletska, DDS

  • General Practice Dentistry
  • Stamford, CT
  • NPI 1306179213
  NPD Authorized official

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1205563822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 NEW HAVEN AVE",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064182154",
            "telephone_number": "347-323-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 NEW HAVEN AVE",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064182154",
            "telephone_number": "203-751-9667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL VISION,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "POHORLETSKA",
        "authorized_official_first_name": "TETYANA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "347-323-1715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dentistry of Derby",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ilma E Deida
• Alexandria Nicole Deisser
• Karen Delfino, RPT
• Brenton Richard Dempsey, PA-C
• Tracy Lee Dempsey, LPC
• Derby Chiropractic Office LLC (SoVita Chiropractic)
• Derby Public Schools
• Derbydds, P.C. (Dental Docs)
• Aartee Deshpande, MD
• Ruchima Dham

• General Practice Dentistry in Derby, CT
• Providers in Derby, 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 Sep 13, 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.