North Main Dental Group LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NORTH MAIN DENTAL GROUP LLC

Practice address

225 N Main St Ste 210
Bristol, CT 06010-4993

Phone

(860) 582-3744

NPI assigned

Sep 22, 2020

Last updated

Sep 22, 2020By 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

Dr. Leter C Reid

Title

Owner

Phone

(860) 655-9195

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Lester C Reid, D.M.D.

  • Endodontics
  • Bristol, CT
  • NPI 1871937359
  NPD

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1528674728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N MAIN ST STE 210",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104993",
            "telephone_number": "860-582-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N MAIN ST STE 210",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104993",
            "telephone_number": "860-582-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MAIN DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "LETER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-655-9195",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Riley Anne O'Hanlon
• Rhode Obas, APRN, PMHNP-BC

• Dental Clinic/Center in Bristol, CT
• Providers in Bristol, CT by specialty
• Dental Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.