Thalody Family Dentistry LLC

Primary specialty

DentistTaxonomy code 122300000X

License

008931 Issued in CT

Legal business name

THALODY FAMILY DENTISTRY LLC

Doing business as

Portland Smile Care

Practice address

260 Main St
Portland, CT 06480

Phone

(860) 342-2176

Fax

(860) 342-2177

NPI assigned

Mar 3, 2016

Last updated

Mar 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas P Thalody, DDS

Title

Owner

Phone

(860) 342-2176

Specialties & licenses 2

Addresses

Other names 1

• Portland Smile Care Doing business as

Practitioners 1

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.

• Joseph Lantos, DDS

  • General Practice Dentistry
  • Portland, CT
  • NPI 1881689578
  NPD (past)

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1346600368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 MAIN ST",
            "city": "PORTLAND",
            "state": "CT",
            "postal_code": "064801859",
            "telephone_number": "860-342-2176",
            "fax_number": "860-342-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 MAIN ST",
            "city": "PORTLAND",
            "state": "CT",
            "postal_code": "06480",
            "telephone_number": "860-342-2176",
            "fax_number": "860-342-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THALODY FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "THALODY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-342-2176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "008931",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "004615",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portland Smile Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.