Market Square Dental Associates, LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

007677 Issued in CT

Legal business name

MARKET SQUARE DENTAL ASSOCIATES, LLC

Practice address

51 Market SQ
Newington, CT 06111-2912

Phone

(860) 667-0818

Fax

(860) 666-7185

NPI assigned

Mar 11, 2014

Last updated

Mar 11, 2014By 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. Walter J Leckowicz Jr., DMD

Title

Owner

Phone

(860) 667-0818

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1215353560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 MARKET SQ",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112912",
            "telephone_number": "860-667-0818",
            "fax_number": "860-666-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 MARKET SQ",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112912",
            "telephone_number": "860-667-0818",
            "fax_number": "860-666-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKET SQUARE DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "LECKOWICZ",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-667-0818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CT",
            "license": "007677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Marcano, RN
• Lucy Catherine Marchigiano, P.T.A.
• James Marinchak, PSY.D.
• Joanne Louise Marino, APRN
• Laura Mark, PT
• Mary Julia Martin-O'Brien, APRN
• Christina Elizabeth Martinelli, ATC, CSCS
• Tania J Martinez, LCSW
• Sharon Martino, OD
• Theresa Virginia Martins, OTR/L

• Health Maintenance Organization in Newington, CT
• Providers in Newington, 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 Mar 11, 2014; 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.