Family & Preventive Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7617 Issued in CT

Legal business name

FAMILY & PREVENTIVE DENTISTRY, PC

Practice address

357 Main St S
Woodbury, CT 06798-3408

Phone

(203) 263-5575

NPI assigned

Apr 6, 2015

Last updated

Apr 6, 2015By 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

James B. Marshall, DMD

Title

Partner

Phone

(203) 263-5575

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.

• Robert FC Larosa

  • General Practice Dentistry
  • Woodbury, CT
  • NPI 1154545846
  NPD (past)

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428278400000",
    "number": "1538554647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 MAIN ST S",
            "address_2": "PO BOX 593",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067983408",
            "telephone_number": "203-263-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 MAIN ST S",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067983408",
            "telephone_number": "203-263-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY & PREVENTIVE DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-06",
        "last_updated": "2015-04-06",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "203-263-5575",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "7617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Woodbury, CT
• Providers in Woodbury, 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 Apr 6, 2015; 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.