Brian Dasilva, DMD
Individual provider Active NPI General Practice Dentistry · East Windsor, CT
NPI 1295148302 · NPPES record last updated Jun 18, 2015
Key facts
- NPI
- 1295148302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 11416 (CT)
- Practice address
- 148 North Rd
East Windsor, CT 06088-9502 - Phone
- (860) 627-5232
- NPI assigned
- Jun 5, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160324001039 | CT | Order and Referring Only - Dentist |
2860799517 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11416 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dasilva Dental LLC | General Practice | Current | Accepting new patients |
| Melvin I. Spielberg,M.D. P.C. | Past |
Accepting new patients |
Locations
148 North Rd
East Windsor, CT 06088
Phone (860) 627-5232
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11416 | CT | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
148 North Rd
East Windsor, CT 06088-9502
Mailing address
148 North Rd
East Windsor, CT 06088-9502
Phone (860) 627-5232
Other providers in East Windsor, CT
- Katie Coleman
- Michael Richard Crawford
- Kathryn Crichton
- Danyelle Cubi
- Dasilva Dental LLC
- Robert Louis Dasilva
- Brian Clyde Davis
- DCF Albert J. Solnit Center - North Campus
- Joseph Lakshman Dene
- Susan J Devine
All providers in East Windsor, CT · General Practice Dentistry in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.