Laura Jean Gagnon, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

007543 Issued in CT

Practice address

248 E Main St
Clinton, CT 06413-2230

Phone

(860) 669-1616

Fax

(860) 669-4525

NPI assigned

Dec 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Child & Adult Orthodontics PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Clinton, CT
  • NPI 1033282306
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518020239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 EAST MAIN STREET",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "06413",
            "telephone_number": "860-669-1616",
            "fax_number": "860-669-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 E MAIN ST",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064132230",
            "telephone_number": "860-669-1616",
            "fax_number": "860-669-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNON",
        "first_name": "LAURA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "007543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Fasciano, RN
• Katherine Audra Fillion, LPC
• Catherine Marie Finkeldey, LPC
• Five Star Supermarkets of Clinton LLC (Shoprite Pharmacy)
• Margaret Flinter, APRN, PHD
• Jessica Garigliano, RN
• Christopher S Gatehouse, DMD
• Robert Geiman, D.D.S., M.A., M.S.
• Gilead Community Services, Inc.
• Danielle Gray, LPC

• Orthodontics and Dentofacial Orthopedics Dentistry in Clinton, CT
• Providers in Clinton, CT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.