Active NPI
Gary Fishbein DMD LLC
- Oral and Maxillofacial Surgery (Dentist)
- Vernon, CT
National Provider Identifier
1629595145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 11333
- Legal business name
- GARY FISHBEIN DMD LLC
- Practice address
- 281 Hartford Tpke Ste 307
Vernon, CT 06066-4707 - Phone
- (860) 872-8331
- NPI assigned
- Aug 25, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gary Todd Fishbein, DMD
- Title
- Oral and Maxillofacial Surgeon
- Phone
- (860) 872-8331
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 11333 | CT | Primary |
Addresses
Primary practice location
281 Hartford Tpke Ste 307
Vernon, CT 06066-4707
Mailing address
281 Hartford Tpke Ste 307
Vernon, CT 06066-4707
Phone (860) 872-8331
Other names 1
- East of the River Oral and Maxillofacial Surgery
National Provider Directory
National Provider DirectoryLocations
281 Hartford Tpke
Ste 307
Vernon, CT 06066
Phone (860) 872-8331
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Newark, NJ
- NPI 1427200385
-
- Oral and Maxillofacial Surgery (Dentist)
- Vernon, CT
- NPI 1053322917
Oral and Maxillofacial Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1503619200000",
"number": "1629595145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "281 HARTFORD TPKE STE 307",
"city": "VERNON",
"state": "CT",
"postal_code": "060664707",
"telephone_number": "860-872-8331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 HARTFORD TPKE STE 307",
"city": "VERNON",
"state": "CT",
"postal_code": "060664707",
"telephone_number": "860-872-8331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARY FISHBEIN DMD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-25",
"last_updated": "2017-08-25",
"status": "A",
"authorized_official_last_name": "FISHBEIN",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "TODD",
"authorized_official_title_or_position": "ORAL AND MAXILLOFACIAL SURGEON",
"authorized_official_telephone_number": "860-872-8331",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CT",
"license": "11333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "East of the River Oral and Maxillofacial Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Vernon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.