NPIMap

Organization Active NPI

Peoplesdental, P.C.

Doing business as Preferred Dental of Cromwell

  • General Practice Dentistry
  • Cromwell, CT
National Provider Identifier
1316500606
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PEOPLESDENTAL, P.C.
Doing business as
Preferred Dental of Cromwell
Practice address
75 Berlin Rd Ste 108
Cromwell, CT 06416-2633
Phone
(860) 635-1515
NPI assigned
Apr 22, 2019
Last updated
Jan 17, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
PEOPLESDENTAL, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Authorized official

Name
Leah Ann Maylott
Title
Credentialing Administrator
Phone
(860) 874-8198

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

75 Berlin Rd Ste 108
Cromwell, CT 06416-2633

Mailing address

75 Berlin Rd Ste 108
Cromwell, CT 06416-2633
Phone (860) 874-8198

Other names 1

  • Preferred Dental of Cromwell Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Peoplesdental PC10 organizations share this tax ID, including this one
Part of
Peoplesdental PC

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

75 Berlin Rd
Ste 108
Cromwell, CT 06416
Phone (860) 635-1515

Practitioners & affiliated clinicians

Practitioners 2

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": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1316500606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BERLIN RD STE 108",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162633",
            "telephone_number": "860-874-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BERLIN RD STE 108",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162633",
            "telephone_number": "860-635-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLESDENTAL, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEOPLESDENTAL, P.C.",
        "enumeration_date": "2019-04-22",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "MAYLOTT",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CREDENTIALING ADMINISTRATOR",
        "authorized_official_telephone_number": "860-874-8198"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preferred Dental of Cromwell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cromwell, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.