Oral Care Dental Group II, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ORAL CARE DENTAL GROUP II, LLC

Practice address

21 Montauk Ave
Suite 102
New London, CT 06320-4906

Phone

(860) 447-9280

Fax

(860) 437-1938

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Angelina Santa Maria

Title

Office Administrator

Phone

(860) 447-9280

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Oral Care Dental Group II LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Oral Care Dental Group II, LLC

  • General Practice Dentistry
  • Hartford, CT
  • NPI 1164719456
  NPD tax ID

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1487872883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MONTAUK AVE",
            "address_2": "SUITE 102",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204906",
            "telephone_number": "860-447-9280",
            "fax_number": "860-437-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MONTAUK AVE",
            "address_2": "SUITE 102",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204906",
            "telephone_number": "860-447-9280",
            "fax_number": "860-437-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL CARE DENTAL GROUP II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "SANTA MARIA",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "860-447-9280",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004249076",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Olivier, PA-C
• Peter Scott Olmstead, ATC, PTA
• Nancy Olson, APRN
• Oncology & Hematology Associates, PC
• Christopher Tudor Oprica, PHARM.D.
• Julia Barrett Oriente, MS, OTR/L
• Lisa Michelle Otto, LCSW
• Tunnesia Owens, LMSW
• Mariel Ozoria, BA
• Jasmine Pacheco

• General Practice Dentistry in New London, CT
• Providers in New London, 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 Feb 4, 2013; 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.