Active NPI
Gargano Family Dentistry
- Advanced Practice Dental Therapist
- North Haven, CT
National Provider Identifier
1508743022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Dental Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | |||
| Dental Therapist | 125J00000X | |||
| Advanced Practice Dental Therapist | 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 DirectoryLocations
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.