Brattleboro Dental Care LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRATTLEBORO DENTAL CARE LLC

Practice address

80 Flat St Ste 101
Brattleboro, VT 05301-3258

Phone

(802) 254-6634

NPI assigned

Jul 8, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Chaitalee Ganatra, DDSNPI 1376938258

Title

Owner

Phone

(802) 254-6634

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chaitalee Ganatra

  • Dentist
  • Fall River, MA
  • NPI 1376938258
  NPD Authorized official
• Piper E Wilson, DMD

  • General Practice Dentistry
  • Hadley, MA
  • NPI 1215120829

  General Practice

  NPD (past)

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1235757121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 FLAT ST STE 101",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053013258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 FLAT ST STE 101",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053013258",
            "telephone_number": "802-254-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRATTLEBORO DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "GANATRA",
        "authorized_official_first_name": "CHAITALEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-254-6634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwen Boynton, MSW LICSW
• Bratt Eye PLLC
• Brattleboro Area Adult Day Services, Inc.
• Brattleboro Area Ophthalmology, P.C.
• Brattleboro Crossings LLC
• Brattleboro Emergency Services
• Brattleboro Hearing Center Inc
• Brattleboro Memorial Hospital
• Brattleboro Memorial Hospital
• Brattleboro Mutual Aid Association, Inc.

• All providers in Brattleboro, VT
• General Practice Dentistry in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.