Organization Active NPI

Killingly Dental Care, LLC

  • General Practice Dentistry
  • Dayville, CT
National Provider Identifier
1518556877
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KILLINGLY DENTAL CARE, LLC
Practice address
1040 N Main St
Dayville, CT 06241-2143
Phone
(860) 779-1053
Fax
(860) 779-7137
NPI assigned
Jan 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Authorized official

Name
Allison White, DMDNPI 1568877504
Title
DMD/Owner
Phone
(860) 779-1053

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1040 N Main St
Dayville, CT 06241-2143

Mailing address

1040 N Main St
Dayville, CT 06241-2143
Phone (860) 779-1053

Other identifiers 1

IdentifierTypeStateIssuer
1962656397OtherCTGENERAL DENTISTRY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1518556877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 N MAIN ST",
            "city": "DAYVILLE",
            "state": "CT",
            "postal_code": "062412143",
            "telephone_number": "860-779-1053",
            "fax_number": "860-779-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 N MAIN ST",
            "city": "DAYVILLE",
            "state": "CT",
            "postal_code": "062412143",
            "telephone_number": "860-779-1053",
            "fax_number": "860-779-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILLINGLY DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "DMD/OWNER",
        "authorized_official_telephone_number": "860-779-1053",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTISTRY",
            "identifier": "1962656397",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.