Farmington Village Dental Associates, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

008586 Issued in CT

Legal business name

FARMINGTON VILLAGE DENTAL ASSOCIATES, LLC

Practice address

320 Main St
Farmington, CT 06032-2961

Phone

(860) 676-2288

Fax

(860) 676-2292

NPI assigned

Sep 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Monique Marie Nadeau, DMDNPI 1538176656

Title

Owner/Managing Memeber

Phone

(860) 676-2288

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Monique M Nadeau I, DMD

  • General Practice Dentistry
  • Farmington, CT
  • NPI 1538176656

  General Practice

  NPD (past) Authorized official
• Eric Krause, D.M.D.

  • Dentist
  • Farmington, CT
  • NPI 1619002318
  NPD (past)

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497857296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 MAIN ST",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322961",
            "telephone_number": "860-676-2288",
            "fax_number": "860-676-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MAIN ST",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322961",
            "telephone_number": "860-676-2288",
            "fax_number": "860-676-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGTON VILLAGE DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NADEAU",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMEBER",
        "authorized_official_telephone_number": "860-676-2288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "008586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farmington Imaging Center, LLC
• Farmington Pediatric & Adolescent Medicine, LLC
• Farmington Public Schools
• Farmington Rehab Center, LLC
• Farmington Surgery Center LLC
• Kimberly A Farrell, D.M.D
• Marycatherine Farwell, MD
• Philip Louis Fava II, D.M.D.
• Samantha Lee Fazzino, OTR/L
• Wade Federspiel, D.C.

• All providers in Farmington, CT
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.