Active NPI
Sally M Vail, D.D.S.
- Dentist
- Mystic, CT
National Provider Identifier
1295984540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7118
- Practice address
- 64 Washington St
Mystic, CT 06355-2811 - Phone
- (860) 536-7100
- Fax
- (860) 572-0644
- NPI assigned
- Sep 11, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7118 | CT | |
| Dentist | 122300000X | 7118 | CT | Primary |
Addresses
Primary practice location
64 Washington St
Mystic, CT 06355-2811
Mailing address
64 Washington St
Mystic, CT 06355-2811
Phone (860) 536-7100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7118 | CT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Sally Vail & Dr. Linda Robson, PC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Mystic, CT
- NPI 1720208796
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429142400000",
"number": "1295984540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 WASHINGTON ST",
"city": "MYSTIC",
"state": "CT",
"postal_code": "063552811",
"telephone_number": "860-536-7100",
"fax_number": "860-572-0644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 WASHINGTON ST",
"city": "MYSTIC",
"state": "CT",
"postal_code": "063552811",
"telephone_number": "860-536-7100",
"fax_number": "860-572-0644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAIL",
"first_name": "SALLY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-11",
"last_updated": "2015-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "7118",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "7118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mystic, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.