Active NPI
Dylan Puglisi, D.D.S
- Dentist
- Newtown, CT
National Provider Identifier
1558057216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14015
- Practice address
- 32 Church Hill Rd
Newtown, CT 06470-1638 - Phone
- (203) 426-5891
- NPI assigned
- Apr 14, 2023
- Last updated
- May 22, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 14015 | CT | Primary |
Addresses
Primary practice location
32 Church Hill Rd
Newtown, CT 06470-1638
Mailing address
259 Emily Dr
Oxford, CT 06478-1069
Phone (914) 319-2252
Other practice location 1
24 Hospital Ave
Danbury, CT 06810-6077
Phone (203) 982-5610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1558057216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "259 EMILY DR",
"city": "OXFORD",
"state": "CT",
"postal_code": "064781069",
"telephone_number": "914-319-2252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 CHURCH HILL RD",
"city": "NEWTOWN",
"state": "CT",
"postal_code": "064701638",
"telephone_number": "203-426-5891"
}
],
"practiceLocations": [
{
"address_1": "24 Hospital Ave",
"address_purpose": "LOCATION",
"city": "Danbury",
"state": "CT",
"postal_code": "068106077",
"country_code": "US",
"telephone_number": "203-982-5610",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUGLISI",
"first_name": "DYLAN",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-14",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "14015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newtown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.