Modern Dentistry of Orange

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MODERN DENTISTRY OF ORANGE

Practice address

240 Indian River Rd Ste A8
Orange, CT 06477-3690

Phone

(203) 763-1145

Fax

(203) 763-1139

NPI assigned

Aug 6, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Christian Brockenberry, DMD

Title

Member

Phone

(203) 763-1145

Specialties & licenses 1

Addresses

Other names 1

• Orange Dental Care Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christian Tiffany Grant, D.M.D.

  • General Practice Dentistry
  • New Haven, CT
  • NPI 1730407115
  NPD

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1497630834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 INDIAN RIVER RD STE A8",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773690",
            "telephone_number": "203-763-1145",
            "fax_number": "203-763-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 INDIAN RIVER RD STE A8",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773690",
            "telephone_number": "203-763-1145",
            "fax_number": "203-763-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN DENTISTRY OF ORANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "BROCKENBERRY",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-763-1145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orange Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medtech
• Rebecca Mennillo, APRN
• MH Health Care Services, PC
• Milestones Behavioral Services, Inc.
• Fausto Minaya Correa
• Samantha Jade Moffett, RN
• Irshad G Mohammed, DDS
• Xiomara S Molina-Perez, MD
• Catherine Mollengarden, BCBA
• Lauren Mollengarden

• General Practice Dentistry in Orange, CT
• Providers in Orange, 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 6, 2025; 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.