NPIMap

Organization Active NPI

Peoplesdental, P.C.

Doing business as East Haddam Dental Associates

  • General Practice Dentistry
  • Moodus, CT
National Provider Identifier
1447744891
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PEOPLESDENTAL, P.C.
Doing business as
East Haddam Dental Associates
Practice address
32 William F Palmer Rd
Moodus, CT 06469-1131
Phone
(860) 873-1405
NPI assigned
Jun 19, 2018
Last updated
Jan 17, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
PEOPLESDENTAL, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Authorized official

Name
Leah Ann Maylott
Title
Credentialing Administrator
Phone
(860) 874-8198

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

32 William F Palmer Rd
Moodus, CT 06469-1131

Mailing address

32 William F Palmer Rd
Moodus, CT 06469-1131
Phone (860) 874-8198

Other names 1

  • East Haddam Dental Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Peoplesdental PC10 organizations share this tax ID, including this one
Part of
Peoplesdental PC

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1447744891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 WILLIAM F PALMER RD",
            "city": "MOODUS",
            "state": "CT",
            "postal_code": "064691131",
            "telephone_number": "860-874-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 WILLIAM F PALMER RD",
            "city": "MOODUS",
            "state": "CT",
            "postal_code": "064691131",
            "telephone_number": "860-873-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLESDENTAL, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEOPLESDENTAL, P.C.",
        "enumeration_date": "2018-06-19",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "MAYLOTT",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CREDENTIALING ADMINISTRATOR",
        "authorized_official_telephone_number": "860-874-8198"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Haddam Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "East Haddam Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moodus, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.