West Shore Family Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11462 Issued in CT

Legal business name

WEST SHORE FAMILY DENTAL LLC

Practice address

141 Captain Thomas Blvd
West Haven, CT 06516-5914

Phone

(203) 932-3675

Fax

(203) 934-9701

NPI assigned

Dec 16, 2016

Last updated

Mar 12, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Danielle Casarella

Title

Administrator

Phone

(860) 276-1586

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, and the practitioner matching its NPPES authorized official.

• Allison Baylis, DMD

  • General Practice Dentistry
  • West Haven, CT
  • NPI 1750796801
  NPD (past)
• Lawrence Messina, DDS

  • General Practice Dentistry
  • West Haven, CT
  • NPI 1033132584
  NPD (past)

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1518401066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 CAPTAIN THOMAS BLVD",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065165914",
            "telephone_number": "203-932-3675",
            "fax_number": "203-934-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 CAPTAIN THOMAS BLVD",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065165914",
            "telephone_number": "203-932-3675",
            "fax_number": "203-934-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SHORE FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-16",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "CASARELLA",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "860-276-1586"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "11462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Haven VA Podiatric Surgery (Connecticut Healthcare Consortium)
• West Haven Vamc
• West Haven Vamc
• West Haven Vamc
• West Haven Vamc
• West Shore Fire District
• Stanley Jerome White, REGISTERED KT
• Natalie L Wicker, LCSW, LADC
• Ashley A Wiedemann, PH.D.
• Dennis Arthur Wigg, MA

• General Practice Dentistry in West Haven, CT
• Providers in West Haven, 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 Mar 12, 2019; 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.