NPIMap

Organization Active NPI

Newington Dental Care PLLC

Doing business as Cedar Mountain Dental

  • Dental Clinic/Center
  • Newington, CT
National Provider Identifier
1235608720
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NEWINGTON DENTAL CARE PLLC
Doing business as
Cedar Mountain Dental
Practice address
112 Market SQ
Newington, CT 06111-2913
Phone
(860) 667-2600
NPI assigned
Nov 14, 2018
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Daria Renee Gagliardi
Title
Operations
Phone
(518) 275-2988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

112 Market SQ
Newington, CT 06111-2913

Mailing address

PO Box 67
Latham, NY 12110-0067

Other names 1

  • Cedar Mountain Dental Doing business as

National Provider Directory

National Provider Directory

Locations

359 Farmington Ave
Plainville, CT 06062
Phone (860) 747-5761

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1235608720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121100067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MARKET SQ",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112913",
            "telephone_number": "860-667-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWINGTON DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-14",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "GAGLIARDI",
        "authorized_official_first_name": "DARIA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "518-275-2988"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Mountain Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.