Organization Active NPI

Dr. Dental of Vernon, PC

  • Dentist
  • Vernon, CT
National Provider Identifier
1669759759
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DR. DENTAL OF VERNON, PC
Practice address
35 Talcottville Rd
Vernon, CT 06066-5261
Phone
(860) 257-4000
NPI assigned
Nov 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Julia Faigel, DMD
Title
Owner
Phone
(508) 353-3565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

35 Talcottville Rd
Vernon, CT 06066-5261

Mailing address

35 Talcottville Rd
Vernon, CT 06066-5261

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1669759759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 TALCOTTVILLE RD",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060665261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 TALCOTTVILLE RD",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060665261",
            "telephone_number": "860-257-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DENTAL OF VERNON, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "FAIGEL",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-353-3565",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 3, 2011; 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.