John C Pavlakis, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

13690 Issued in CT

Practice address

717 Newfield St
Middletown, CT 06457-1815

Phone

(860) 347-1227

NPI assigned

Jun 25, 2018

Last updated

Oct 25, 2023By the provider in NPPES

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Dental PLLC

  • General Practice Dentistry
  • Middletown, CT
  • NPI 1639068786
  NPD Authorized official
• Guilford Dental PLLC

  • General Practice Dentistry
  • Guilford, CT
  • NPI 1447120183
  NPD Authorized official
• Middletown Smiles, LLC

  • Dental Clinic/Center
  • Middletown, CT
  • NPI 1164086609
  NPD (past)
• Raynor Dental PLLC

  • General Practice Dentistry
  • Keene, NH
  • NPI 1669701272
  NPD (past)

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1336634039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 NEWFIELD ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064571815",
            "telephone_number": "860-347-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 NEWFIELD ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064571815",
            "telephone_number": "860-347-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLAKIS",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "13690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nalini Menon Pathiyal, MD
• Patricia a. Carta, DMD LLC
• Kenneth Michael Patrician, DMD
• Kathryn Anna Patterson, PSYD
• Paul Torop MD PC
• Heather Lee Paxton, M.D.
• Peaceful Practice Counseling
• Hannah Pearce, LCSW
• Barry Pearson, M.D.
• Wendy D Pegolo, APRN

• Dentist in Middletown, CT
• Providers in Middletown, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.