Griswold Dental Associates, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7352 Issued in CT

Legal business name

GRISWOLD DENTAL ASSOCIATES, PC

Practice address

87 Slater Ave
Jewett City, CT 06351-2408

Phone

(860) 376-2624

Fax

(860) 376-9855

NPI assigned

Apr 11, 2007

Last updated

Aug 22, 2020By 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

Terry J Kiertianis

Title

Office Manager

Phone

(860) 376-2624

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Norman G. Katzoff, DMD

  • General Practice Dentistry
  • Jewett City, CT
  • NPI 1598787855
  NPD (past)
• Bing Dai, DMD

  • General Practice Dentistry
  • Florence, MA
  • NPI 1487989711
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669695219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 SLATER AVE",
            "city": "JEWETT CITY",
            "state": "CT",
            "postal_code": "063512408",
            "telephone_number": "860-376-2624",
            "fax_number": "860-376-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 SLATER AVE",
            "city": "JEWETT CITY",
            "state": "CT",
            "postal_code": "063512408",
            "telephone_number": "860-376-2624",
            "fax_number": "860-376-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRISWOLD DENTAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIERTIANIS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "860-376-2624"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "7352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI",
            "identifier": "895694",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elliott Counseling LLC
• Ewc 2, LLC
• Marissa Fratoni, BA
• Goodwin Family Dentistry
• Steven Morgan Goodwin, D.M.D.
• Griswold Eye Care, PLLC
• Griswold Family Chiropractic
• Haven Health Center of Jewett City, LLC
• Nancy Hinchey
• Infinity Care LLC

• General Practice Dentistry in Jewett City, CT
• Providers in Jewett City, 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 Aug 22, 2020; 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.