Middlesex Dental Care, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7424 Issued in CT

Legal business name

MIDDLESEX DENTAL CARE, LLC

Doing business as

Middlesex Dental Care

Practice address

410 Saybrook Rd Ste 202
Middletown, CT 06457-4777

Phone

(860) 346-3443

Fax

(860) 343-9401

NPI assigned

Nov 28, 2006

Last updated

Jun 16, 2018By 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. Kevin Cross

Title

Owner

Phone

(860) 346-3443

Specialties & licenses 1

Addresses

Other names 2

• Middlesex Dental Care Doing business as
• Higganum Dental Associates Former legal business name

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1568538817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 SAYBROOK RD STE 202",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574777",
            "telephone_number": "860-346-3443",
            "fax_number": "860-343-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 SAYBROOK RD STE 202",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574777",
            "telephone_number": "860-346-3443",
            "fax_number": "860-343-9401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 Killingworth Rd",
            "address_purpose": "LOCATION",
            "city": "Higganum",
            "state": "CT",
            "postal_code": "06441",
            "country_code": "US",
            "telephone_number": "860-345-4538",
            "fax_number": "860-345-4483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDDLESEX DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-346-3443",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "7424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middlesex Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Higganum Dental Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Brooklyn Larisa Mickolyzck, DNP, FNP-BC
• Mid State MD, LLC
• Middesex Dental Sleep Medicine LLC
• Middlesex Cardiology Associates, PC
• Middlesex Center for Advanced Orthopedic Surgery
• Middlesex Dermatology, LLC
• Middlesex Diabetes & Endocrinology
• Middlesex Dialysis Center LLC (Middlesex Dialysis Center)
• Middlesex Endoscopy Center LLC
• Middlesex Eye Physicians P.C.

• General Practice Dentistry in Middletown, CT
• Providers in Middletown, 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 Jun 16, 2018; 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.