Organization Active NPI

New London Family Dentistry & Implants

  • General Practice Dentistry
  • New London, CT
National Provider Identifier
1427563956
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NEW LONDON FAMILY DENTISTRY & IMPLANTS
Practice address
48 Ocean Ave
New London, CT 06320-3414
Phone
(860) 447-9280
Fax
(860) 447-9280
NPI assigned
Dec 6, 2017
Last updated
Dec 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Authorized official

Name
Angelina Blankschen
Title
Administrator
Phone
(860) 444-9345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

48 Ocean Ave
New London, CT 06320-3414

Mailing address

48 Ocean Ave
New London, CT 06320-3414
Phone (860) 447-9280

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512518400000",
    "number": "1427563956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 OCEAN AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063203414",
            "telephone_number": "860-447-9280",
            "fax_number": "860-437-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 OCEAN AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063203414",
            "telephone_number": "860-447-9280",
            "fax_number": "860-447-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LONDON FAMILY DENTISTRY & IMPLANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A",
        "authorized_official_last_name": "BLANKSCHEN",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "860-444-9345"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.