Avon Center Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7753 Issued in CT

Legal business name

AVON CENTER DENTISTRY

Practice address

19 Ensign Drive
Avon, CT 06001

Phone

(860) 404-5494

Fax

(860) 404-5582

NPI assigned

Jun 10, 2013

Organization subpart

Yes

Parent organization

HEBRON CENTER DENTISTRYAs reported in NPPES

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

Authorized official

Name

James Bussiere, DMD

Title

Owner

Phone

(860) 404-5494

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1649618901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 ENSIGN DR",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013705",
            "telephone_number": "860-404-5494",
            "fax_number": "860-404-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 ENSIGN DRIVE",
            "city": "AVON",
            "state": "CT",
            "postal_code": "06001",
            "telephone_number": "860-404-5494",
            "fax_number": "860-404-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVON CENTER DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEBRON CENTER DENTISTRY",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "BUSSIERE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-404-5494",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "7753",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CT",
            "license": "7753",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Janet Ardry
• Marjorie Arni, APRN
• Arnold M Koff, MD (Dda Avon Health
• Alexander Ashe
• Avon Allies LLC (Better Medicine Co)
• Avon Chiropractic Health Center PC (Dr Joanne A. Santiago)
• Avon Convalescent Home, Inc. (Avon Health Center)
• Avon Dental Group, P.C.
• Avon Eye Associates LLC (Avon Vision Associates)
• Avon Eye Care, LLC

• General Practice Dentistry in Avon, CT
• Providers in Avon, 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 Jun 10, 2013; 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.