NPIMap

Organization Active NPI

Salvatore James Squatrito Jr DDS PC

  • Periodontics
  • Manchester, CT
National Provider Identifier
1366653933
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
003946 Issued in CT
Legal business name
SALVATORE JAMES SQUATRITO JR DDS PC
Practice address
360 Tolland Turnpike
Suite 1-C
Manchester, CT 06042-1759
Phone
(860) 646-1429
Fax
(860) 646-6897
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Salvatore James Squatrito Jr., DDS
Title
President Professional Corporation
Phone
(860) 646-1429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 003946 CT Primary

Addresses

Primary practice location

360 Tolland Turnpike
Suite 1-C
Manchester, CT 06042-1759

Mailing address

360 Tolland Turnpike
Suite 1-C
Manchester, CT 06042-1759
Phone (860) 646-1429

National Provider Directory

National Provider Directory

Locations

360 Tolland Tpke
Ste 1C
Manchester, CT 06042
Phone (860) 646-1426

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": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366653933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 TOLLAND TURNPIKE",
            "address_2": "SUITE 1-C",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060421759",
            "telephone_number": "860-646-1429",
            "fax_number": "860-646-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 TOLLAND TURNPIKE",
            "address_2": "SUITE 1-C",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060421759",
            "telephone_number": "860-646-1429",
            "fax_number": "860-646-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALVATORE JAMES SQUATRITO JR DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SQUATRITO",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT PROFESSIONAL CORPORATION",
        "authorized_official_telephone_number": "860-646-1429",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CT",
            "license": "003946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 22, 2020; 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.