Imperial Dental Assoc., PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

008429 Issued in CT

Legal business name

IMPERIAL DENTAL ASSOC., PC

Practice address

15 Imperial Ave
Westport, CT 06880-4302

Phone

(203) 227-2520

Fax

(203) 454-8710

NPI assigned

Mar 9, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Marilyn Geni-Blaney, MD

Title

Owner

Phone

(203) 227-2520

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Marilyn R. Geni, DMD

  • General Practice Dentistry
  • Westport, CT
  • NPI 1508912445
  NPD (past)
• Pamela A Gibson, D.M.D.

  • Dentist
  • Southport, CT
  • NPI 1497098206
  NPD (past)

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1669795381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 IMPERIAL AVE",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804302",
            "telephone_number": "203-227-2520",
            "fax_number": "203-454-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 IMPERIAL AVE",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804302",
            "telephone_number": "203-227-2520",
            "fax_number": "203-454-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL DENTAL ASSOC., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "GENI-BLANEY",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-227-2520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "008429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Hrbek, MSW, LCSW
• HTC Management Services Corp
• Pamela S Huebner, PSYD
• Julia Humphries, LCSW
• Andrew Samuel Ilowitz, DC
• Imperial Plastic Surgery LLC
• Ims, LLC
• David Allen Ingber, D.D.S.
• Joel Bernard Ingber, DDS
• Integrated Sports Therapy, PC

• General Practice Dentistry in Westport, CT
• Providers in Westport, 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 Mar 10, 2010; 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.