Active NPI
Angelina Petonito, R.D.H.
- Dental Hygienist
- West Haven, CT
National Provider Identifier
1457530461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 003422
- Practice address
- 300 Boston Post Rd
West Haven, CT 06516-1916 - Phone
- (203) 931-6029
- NPI assigned
- Oct 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 003422 | CT | Primary |
Addresses
Primary practice location
300 Boston Post Rd
West Haven, CT 06516-1916
Mailing address
3 Saber Dr
East Haven, CT 06512-4246
Phone (203) 468-9553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003422 | CT | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193270400000",
"number": "1457530461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 SABER DR",
"city": "EAST HAVEN",
"state": "CT",
"postal_code": "065124246",
"telephone_number": "203-468-9553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 BOSTON POST RD",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065161916",
"telephone_number": "203-931-6029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETONITO",
"first_name": "ANGELINA",
"credential": "R.D.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-25",
"last_updated": "2007-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CT",
"license": "003422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.