Reidville Dentistry & Implants

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

REIDVILLE DENTISTRY & IMPLANTS

Practice address

464 Reidville Dr
Suite A2
Waterbury, CT 06705-2650

Phone

(860) 444-9345

Fax

(860) 437-1938

NPI assigned

Aug 4, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Angelina Santa Maria

Title

Business Manager

Phone

(860) 997-0569

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.

• Aman Syed, DDS

  • General Practice Dentistry
  • New London, CT
  • NPI 1114950607
  NPD (past)

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1639555451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 OCEAN AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063203414",
            "telephone_number": "860-444-9345",
            "fax_number": "860-437-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 REIDVILLE DR",
            "address_2": "SUITE A2",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067052650",
            "telephone_number": "860-444-9345",
            "fax_number": "860-437-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REIDVILLE DENTISTRY & IMPLANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "SANTA MARIA",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "860-997-0569",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kadah Reich, CRNA
• Michal Reichman
• Christian Reid
• Marla D. Reid, ACNP
• Steven Reid
• Kathy Reiff
• Elizabeth Reilly, BSW
• Kevin Edward Reilly, DMD
• Julianna Theresa Reimold, PT
• Thomas E. Reinhardt, MD

• Dentist in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.