Organization Active NPI

Perfect Smile Dental PC

  • General Practice Dentistry
  • Manchester, CT
National Provider Identifier
1346074143
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PERFECT SMILE DENTAL PC
Doing business as
Align Dental
Practice address
1131 Tolland Tpke Ste J
Manchester, CT 06042-1679
Phone
(860) 533-7270
NPI assigned
Aug 26, 2024
Organization subpart
Yes
Parent organization
PERFECT SMILE DENTAL PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Nishit Modi, DMD
Title
Owner
Phone
(860) 329-6539

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1131 Tolland Tpke Ste J
Manchester, CT 06042-1679

Mailing address

685 Queen St Unit 3
Southington, CT 06489-1547
Phone (860) 863-5831

Other names 1

  • Align Dental Doing business as

National Provider Directory

National Provider Directory
Part of
Perfect Smile Dental PC

Locations

1131 Tolland Tpke
Ste J
Manchester, CT 06042
Phone (832) 841-5878

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1346074143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 QUEEN ST UNIT 3",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064891547",
            "telephone_number": "860-863-5831",
            "fax_number": "860-863-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 TOLLAND TPKE STE J",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060421679",
            "telephone_number": "860-533-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT SMILE DENTAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERFECT SMILE DENTAL PC",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "MODI",
        "authorized_official_first_name": "NISHIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-329-6539",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Align Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.