Dental Center of CT PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010277 Issued in CT

Legal business name

DENTAL CENTER OF CT PC

Practice address

921 White Plains Rd
Trumbull, CT 06611-4546

Phone

(619) 504-4450

NPI assigned

Jul 11, 2011

Last updated

Jul 11, 2011By 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

Dr. Roman Shamuelov, D.D.S

Title

President/Director

Phone

(619) 504-4450

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1679861603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 97TH ST",
            "address_2": "APT 7C",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 WHITE PLAINS RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114546",
            "telephone_number": "619-504-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CENTER OF CT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "SHAMUELOV",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "619-504-4450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pantelis Demestihas, RPH, MS
• Devonique Davinna Dempster
• Nancy L Dennert, APRN
• Dental Associate Group LLC
• Dental Center
• Dental Group of CT
• Ashley Denunzio
• Kanan Tusharbhai Desai, MD MPH
• Katy Despot, CNM
• Lauren Devore, LPC

• General Practice Dentistry in Trumbull, CT
• Providers in Trumbull, 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 Jul 11, 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.