Jack Zazzaro DMD LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JACK ZAZZARO DMD LLC

Practice address

316 Main St S Ste D
Southbury, CT 06488-4238

Phone

(203) 264-0244

Fax

(203) 264-5299

NPI assigned

Jan 25, 2019

Last updated

Jan 25, 2019By 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

Mrs. Joanne Roulanaitis

Title

Office Manager

Phone

(203) 264-0244

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548374400000",
    "number": "1437613320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 MAIN ST S STE D",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064884238",
            "telephone_number": "203-264-0244",
            "fax_number": "203-264-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 MAIN ST S STE D",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064884238",
            "telephone_number": "203-264-0244",
            "fax_number": "203-264-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK ZAZZARO DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-01-25",
        "status": "A",
        "authorized_official_last_name": "ROULANAITIS",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "203-264-0244",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.