Nedg-Avon PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NEDG-AVON PLLC

Doing business as

New England Dental Group-Avon

Practice address

1216 Farmington Ave Ste 201
West Hartford, CT 06107-2673

Phone

(860) 561-4378

Fax

(860) 561-4384

NPI assigned

May 23, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alicia Laclair

Title

Director of Operations

Phone

(508) 281-6464

Specialties & licenses 1

Addresses

Other names 1

• New England Dental Group-Avon Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brent Martin, D.D.S. M.B.A.

  • General Practice Dentistry
  • West Hartford, CT
  • NPI 1427109875
  NPD (past)

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1629760244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 TURNPIKE RD STE 110",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017721791",
            "telephone_number": "508-281-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 FARMINGTON AVE STE 201",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072673",
            "telephone_number": "860-561-4378",
            "fax_number": "860-561-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEDG-AVON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "LACLAIR",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "508-281-6464"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New England Dental Group-Avon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Bennett Nathanson, M.D.
• Natures Way Elite, LLC
• Justina Marie Navallil, PHARMD
• John A. Nazarian, MD
• Ashley Neal, PT
• Arun Nehrujee, PT, DPT
• Neil D. Stein, MD, LLC
• Rachel Billstrom Nelson, M.D.
• Rachel Nentwick, PHARMD
• Neurodiverse Heart, LLC

• Dental Clinic/Center in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Dental Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.