Childrens Dentistry of Trumbull, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

10994 Issued in CT

Legal business name

CHILDRENS DENTISTRY OF TRUMBULL, PC

Practice address

999 Silver LN
2D
Trumbull, CT 06611-5343

Phone

(203) 590-1588

NPI assigned

Jan 13, 2015

Last updated

Apr 29, 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

Dr. Sara Isabel Ysaac-Garcia, DMDNPI 1871782458

Title

Owner

Phone

(203) 767-3798

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.

• Sara Ysaac-Garcia, DMD

  • Pediatric Dentistry
  • New Haven, CT
  • NPI 1871782458
  NPD (past) Authorized official

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1538558622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5211 MADISON AVE",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111040",
            "telephone_number": "203-767-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 SILVER LN",
            "address_2": "2D",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115343",
            "telephone_number": "203-590-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS DENTISTRY OF TRUMBULL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "YSAAC-GARCIA",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ISABEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-767-3798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "10994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rene Chagnon, DNP, APRN, FNP-BC
• Carole Champagne, OT
• Kaberi Chanda, MD
• Sabrina Chase Rothschild, DMD
• Chesapeake Reflections , LLC
• Sara Nicole Chille, RD
• Camille M Chistoni
• Choice Manual Therapy LLC
• Maryann Chomiak, P.A.
• Ronika Dua Choudhary, MD

• Pediatric Dentistry in Trumbull, CT
• Providers in Trumbull, CT by specialty
• Pediatric Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.