Organization Active NPI

Gargano Family Dentistry

  • Advanced Practice Dental Therapist
  • North Haven, CT
National Provider Identifier
1508743022
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice Dental TherapistTaxonomy code 125K00000X
Legal business name
GARGANO FAMILY DENTISTRY
Practice address
21 Washington Ave Ste a
North Haven, CT 06473-2368
Phone
(203) 239-2356
Fax
(203) 239-3985
NPI assigned
Aug 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Authorized official

Name
Nicole D Hodge
Title
Credentialing Manager
Phone
(347) 523-2161

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X
Dental TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 125J00000X
Advanced Practice Dental TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 125K00000X Primary

Addresses

Primary practice location

21 Washington Ave Ste a
North Haven, CT 06473-2368

Mailing address

21 Washington Ave Ste a
North Haven, CT 06473-2368
Phone (203) 239-2356

National Provider Directory

National Provider Directory

Locations

21 Washington Ave
Ste A
North Haven, CT 06473
Phone (203) 239-2356

NPI Registry JSON

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1508743022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WASHINGTON AVE STE A",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732368",
            "telephone_number": "203-239-2356",
            "fax_number": "203-239-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WASHINGTON AVE STE A",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732368",
            "telephone_number": "203-239-2356",
            "fax_number": "203-239-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARGANO FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "347-523-2161"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "125J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "125K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Dental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.