Mary Leslie Pergiovanni, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6407 Issued in CT

Practice address

825 Cromwell Ave
Suite F
Rocky Hill, CT 06067-3013

Phone

(860) 721-9002

Fax

(860) 721-9048

NPI assigned

Apr 16, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Newington Dental Care, PLLC

  • General Practice Dentistry
  • Rocky Hill, CT
  • NPI 1497364798
  NPD (past)

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1700229168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 CROMWELL AVE",
            "address_2": "SUITE F",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673013",
            "telephone_number": "860-721-9002",
            "fax_number": "860-721-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 CROMWELL AVE",
            "address_2": "SUITE F",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673013",
            "telephone_number": "860-721-9002",
            "fax_number": "860-721-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERGIOVANNI",
        "first_name": "MARY",
        "middle_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "6407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Pawlak
• Sheri Ann Peabody, MSN APN-BC
• Joel Thomas Peck
• Christine Pender, MS OTR/L
• Edward Frank Pergiovanni, D.M.D.
• Abigail Suzanne Perreira, LMSW
• Diana Lauren Perry, MSED, PSYD, LPC
• Rosalyn Perry, PT
• Timothy R Peterson, DPT
• Cindy Petry, OTR/L

• General Practice Dentistry in Rocky Hill, CT
• Providers in Rocky Hill, 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 Apr 16, 2013; 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.