R.E. Holdings, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

007375 Issued in CT

Legal business name

R.E. HOLDINGS, LLC

Practice address

835 Wolcott St
Waterbury, CT 06705-1315

Phone

(203) 596-1960

Fax

(203) 596-1998

NPI assigned

Feb 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Lon Polverari, DMD

Title

Owner

Phone

(917) 656-0798

Specialties & licenses 2

Addresses

Other names 1

• Reliable Dental Care Doing business as

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1235478686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 WOLCOTT ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067051315",
            "telephone_number": "203-596-1960",
            "fax_number": "203-596-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 WOLCOTT ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067051315",
            "telephone_number": "203-596-1960",
            "fax_number": "203-596-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.E. HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "POLVERARI",
        "authorized_official_first_name": "LON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-656-0798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "007375",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "010946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reliable Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edmund P Quinn, MD
• Alexandra Quinones
• Kiana Quinones
• Karisma Quintas
• Denise Qyqja, MD
• Tracy Lyn Rabin, MD, SM
• Julianna Racamato
• Radiology Associates of Waterbury, PC
• Howard P Raff, LICENSE NO 000343
• Pauline Anne Rafferty, PHARMD

• General Practice Dentistry in Waterbury, CT
• Providers in Waterbury, 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 Dec 23, 2013; 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.