Dominic Gambino, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13021 Issued in CT

Practice address

16 Main St
East Haven, CT 06512-2506

Phone

(203) 469-2711

NPI assigned

Mar 22, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1584835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1275169211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 TUNXIS VLG",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321502",
            "telephone_number": "203-233-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MAIN ST",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065122506",
            "telephone_number": "203-469-2711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1240 Whitney Ave",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "065172813",
            "country_code": "US",
            "telephone_number": "203-469-2711",
            "fax_number": "203-288-1851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMBINO",
        "first_name": "DOMINIC",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-22",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "13021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Frick, DNP, APRN
• Monika Violet Fuller, PA-C
• Sara Marie Furino, D.M.D.
• Angela Sophia Galantini, PA
• Karen P Gallo
• Venice R Garner, LCSW
• James P. Geyda, D.D.S.
• Doris Gilkey, LMT
• Danielle Glick, LPC
• Marcia A Gonzales, LCSW

• General Practice Dentistry in East Haven, CT
• Providers in East Haven, 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 Feb 13, 2025; 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.