Center for Sleep and TMJ Disorders of Fairfield, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

008916 Issued in CT

Legal business name

CENTER FOR SLEEP AND TMJ DISORDERS OF FAIRFIELD, LLC

Practice address

1100 Kings Hwy E
Suite 2E
Fairfield, CT 06825-5400

Phone

(203) 335-0020

Fax

(203) 335-0030

NPI assigned

Oct 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gloria Busia Maczuga-Stern, D.M.D.

Title

Dentist

Phone

(203) 335-0030

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1700037538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 KINGS HWY E",
            "address_2": "SUITE 2E",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068255400",
            "telephone_number": "203-335-0020",
            "fax_number": "203-335-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 KINGS HWY E",
            "address_2": "SUITE 2E",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068255400",
            "telephone_number": "203-335-0020",
            "fax_number": "203-335-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SLEEP AND TMJ DISORDERS OF FAIRFIELD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "MACZUGA-STERN",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "BUSIA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "203-335-0030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "008916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Celano, PHD
• Jerilyn Celentano
• Center for Individual and Family Therapy,Inc
• Center for Pediatric Therapy
• Center for Pediatric Therapy-Fairfield, Inc.
• Center for the Healing Arts, PC
• Danielle Marie Centone, PA-C
• Central Health Homecare, LLC
• Douglas Cerasi, LPC
• Anthony Aaron Cernera

• General Practice Dentistry in Fairfield, CT
• Providers in Fairfield, 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 Feb 19, 2014; 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.