Sweet Tooth Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

11417 Issued in CT

Legal business name

SWEET TOOTH PEDIATRIC DENTISTRY

Practice address

583 Saybrook Rd
Middletown, CT 06457-4718

Phone

(860) 347-4681

Fax

(860) 344-0286

NPI assigned

Oct 5, 2016

Last updated

Oct 5, 2016By 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

Danielle Casarella

Title

Consultant

Phone

(860) 276-1586

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, and the practitioner matching its NPPES authorized official.

• Erica Pitera

  • Pediatric Dentistry
  • Middletown, CT
  • NPI 1992046635
  NPD (past)

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1588114227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 SAYBROOK RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574718",
            "telephone_number": "860-347-4681",
            "fax_number": "860-344-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "583 SAYBROOK RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574718",
            "telephone_number": "860-347-4681",
            "fax_number": "860-344-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET TOOTH PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "CASARELLA",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "860-276-1586"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "11417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Jacques Svoboda, RPH
• Shaneka Swaby
• Thejas N Swamy, MD
• Mary E Swaykus, M.D.
• Cameron Sweeney, PTA
• Karina Szczepanczyk, M.D.
• Elizabeth Anna Ta, DO
• Brian Taber
• Jeffrey H Takahashi, MD
• Edmund Tamas Takata

• Pediatric Dentistry in Middletown, CT
• Providers in Middletown, CT by specialty
• Pediatric Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.