Trumbull Premier Dental

Primary specialty

DentistTaxonomy code 122300000X

License

7516 Issued in CT

Legal business name

TRUMBULL PREMIER DENTAL

Practice address

4161 Madison Ave
Trumbull, CT 06611-3533

Phone

(203) 374-4300

Fax

(203) 374-0479

NPI assigned

Jan 3, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Pablo Cuevas III, DDS

Title

Sole Member

Phone

(203) 374-4300

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.

• Robert Gene Martire, D.M.D.

  • General Practice Dentistry
  • Trumbull, CT
  • NPI 1356351894
  NPD (past)

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

{
    "created_epoch": "1451779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451779200000",
    "number": "1548626823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 MADISON AVE",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113533",
            "telephone_number": "203-374-4300",
            "fax_number": "203-374-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 MADISON AVE",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113533",
            "telephone_number": "203-374-4300",
            "fax_number": "203-374-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUMBULL PREMIER DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-03",
        "last_updated": "2016-01-03",
        "status": "A",
        "authorized_official_last_name": "CUEVAS",
        "authorized_official_first_name": "PABLO",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "203-374-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "7516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trumbull Monroe Health District
• Trumbull Oncology Center
• Trumbull Orthodonics
• Trumbull Pediatrics PC
• Trumbull Pharmacy LLC
• Trumbull Public Schools
• Justin J. Tuttle, BCABA
• April B Umek, P.A.-C
• University of New Haven
• Stephanie Urciuoli

• Dentist in Trumbull, CT
• Providers in Trumbull, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2016; 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.