Dr. Dental of Church Street, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR. DENTAL OF CHURCH STREET, PC

Practice address

89 Church St
New Haven, CT 06510-3009

Phone

(617) 823-2111

NPI assigned

Feb 24, 2015

Last updated

Feb 24, 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

Mr. Alex Faigel

Title

Managing Director

Phone

(617) 823-2111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1578955860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MERIDIAN ST",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281959",
            "telephone_number": "617-823-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 CHURCH ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103009",
            "telephone_number": "617-823-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DENTAL OF CHURCH STREET, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "FAIGEL",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "617-823-2111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Doyle-Fritz, L.C.S.W
• Elizabeth Ann Doyle, APRN
• Lindsay Doyle
• Dr Eric Frazer LLC
• Dr. Amy O'Callaghan, LLC (Pediatric Dentistry Associates)
• Dr. Hannah Gale (Three Hares Healing)
• Dr. Peter D. Schioppo, LLC
• Dr.Dental of New Haven, PC
• Ann Elizabeth Drabinski, APRN
• Matthew Drago, MD

• General Practice Dentistry in New Haven, CT
• Providers in New Haven, 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 Feb 24, 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.