C S Vincent DMD LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10275 Issued in CT

Legal business name

C S VINCENT DMD LLC

Practice address

360 Connecticut Ave
Norwalk, CT 06854-1824

Phone

(203) 854-5458

NPI assigned

Jun 28, 2010

Organization subpart

No

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

Authorized official

Name

Chedly Vincent

Title

Owner

Phone

(315) 454-6000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1538470232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 CONNECTICUT AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068541824",
            "telephone_number": "203-854-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C S VINCENT DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-28",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "CHEDLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-454-6000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "10275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Burns-Galdenzi, LCSW
• Yonzel Burt, ED.D; LCSW; CCTP
• Michael E Bush, M.D.
• Kristin Mary Butler, DMD
• Sean Butler, M.D.
• Mario Andres Cadena, OTR/L
• Christelle Cadiente, LPN
• Kylie Elizabeth Calandra, DPT
• Margarida Caldeira-Saraiva, M.A., L.P.C.
• Jennifer Calderon Baharian, AGPCNP-BC

• General Practice Dentistry in Norwalk, CT
• Providers in Norwalk, 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 Jun 28, 2010; 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.