Sonal Jitendra Patel Maru, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

010523 Issued in CT

Practice address

277 New London Tpke
Glastonbury, CT 06033-2232

Phone

(860) 430-9889

NPI assigned

Feb 19, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1487013355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 PAXTON WAY",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060333387",
            "telephone_number": "516-458-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 NEW LONDON TPKE",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332232",
            "telephone_number": "860-430-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL MARU",
        "first_name": "SONAL",
        "middle_name": "JITENDRA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-19",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "10523",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "010523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence M Pareles, M.D.
• Brienna Krisnah Parenti, PA-C
• Jong-Yun Park, D.D.S.
• Susan Parker
• Joseph R Paskale, DC
• Nandini Patel
• Nimesh L. Patel, DMD
• Alyssa Lee Patenaude, MS, LMFT
• Gina M Paternostro, APRN
• Patricia Lampugnale, D.O., LLC

• Dentist in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.