Avon Dental Group, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1223G0001X Issued in CT

Legal business name

AVON DENTAL GROUP, P.C.

Practice address

20 W Avon Rd
Avon, CT 06001-3677

Phone

(860) 673-0451

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Daniel Brian Geelan, D.M.D.

Title

Partner

Phone

(860) 673-0451

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447463526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W AVON RD",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013677",
            "telephone_number": "860-673-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W AVON RD",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013677",
            "telephone_number": "860-673-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVON DENTAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEELAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "860-673-0451",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "1223G0001X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Avon, CT
• Providers in Avon, CT by specialty
• General Practice Dentistry in Connecticut

• 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.