Tercel Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TERCEL DENTAL PLLC

Practice address

643 Gold Star Hwy.
Groton, CT 06340

Phone

(860) 445-8569

Fax

(860) 446-8434

NPI assigned

Dec 4, 2017

Last updated

Dec 4, 2017By 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

Leslie L. Matzdorff

Title

Office Manager

Phone

(860) 445-8569

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Mildred L Goebel

  • General Practice Dentistry
  • Groton, CT
  • NPI 1144320235
  NPD (past)
• John M Johnson, DDS

  • General Practice Dentistry
  • Groton, CT
  • NPI 1336141068
  NPD (past)
• Donna J Sanfilippo

  • General Practice Dentistry
  • Groton, CT
  • NPI 1487754628
  NPD (past)
• J Michael Tiberii

  • General Practice Dentistry
  • Groton, CT
  • NPI 1063512853
  NPD (past)

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1538674262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 GOLD STAR HWY.",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "06340",
            "telephone_number": "860-445-8569",
            "fax_number": "860-446-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 GOLD STAR HWY.",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "06340",
            "telephone_number": "860-445-8569",
            "fax_number": "860-446-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERCEL DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "MATZDORFF",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "860-445-8569"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Tansey, PA-C
• Richard R Tapia, IDC
• Ann E Taylor, M.D.
• Taylor Teixeira, BS
• Melisa Leah Ramos Teodoro
• Hatina Terras, LPC
• Matthew Scott Tharp, IDC
• The Calm Planet PLLC
• The Connection Inc. (Womens Services of Groton)
• The Connection Inc. (Saybrook Center LLC)

• General Practice Dentistry in Groton, CT
• Providers in Groton, 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 Dec 4, 2017; 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.