Lauren Mentasti, DMD, MPH

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010045 Issued in CT

Practice address

32 E Main St
Avon, CT 06001-3843

Phone

(860) 678-1140

NPI assigned

Jun 17, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Lauren Mentasti Consonni Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Avon Village Family Dentistry

  • General Practice Dentistry
  • Avon, CT
  • NPI 1376663609
  NPD Authorized official

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1225265259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 E MAIN ST",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013843",
            "telephone_number": "860-678-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 E MAIN ST",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013843",
            "telephone_number": "860-678-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENTASTI",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "DMD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "010045",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "CONSONNI",
            "middle_name": "MENTASTI",
            "prefix": "DR.",
            "credential": "DMD, MPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Nicolas Mesloh, DMD
• Danielle Metcalf, M.S., CCC-SLP
• Tashia Michaud
• Eileen Mary Miller, APRN

• General Practice Dentistry in Avon, CT
• Providers in Avon, 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 Apr 20, 2016; 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.