Waterford Dental Associates PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WATERFORD DENTAL ASSOCIATES PC

Practice address

815 Hartford Tpke
Waterford, CT 06385-4201

Phone

(860) 444-0625

Fax

(860) 442-7740

NPI assigned

Jun 15, 2005

Last updated

Dec 19, 2012By 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. Vincent S Cianciulli, DMDNPI 1730308560

Title

President

Phone

(860) 444-0625

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vincent Cianciulli, DMD

  • General Practice Dentistry
  • Waterford, CT
  • NPI 1730308560
  NPD (past) Authorized official
• John E Dreslin, DMD

  • General Practice Dentistry
  • Waterford, CT
  • NPI 1487872297
  NPD (past)
• Sean H Goetz, DDS

  • General Practice Dentistry
  • Old Saybrook, CT
  • NPI 1710106554
  NPD (past)

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1720083934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 HARTFORD TPKE",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063854201",
            "telephone_number": "860-444-0625",
            "fax_number": "860-442-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 HARTFORD TPKE",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063854201",
            "telephone_number": "860-444-0625",
            "fax_number": "860-442-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERFORD DENTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "CIANCIULLI",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-444-0625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East, LP. (Walmart pharmacy 10-3164)
• Walgreen Co (Rite Aid)
• Caitlin Alice Ward, LCSW
• Waterbury Yellow Cab and Service Company, Inc. (Yellow Cab Company)
• Waterford Ambulance Service, Inc
• Waterford Dental Health
• Waterford Eyecare
• Waterford Optometric PC
• Waterford Pediatrics
• Waterford Public Schools

• Dentist in Waterford, CT
• Providers in Waterford, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.