Active NPI
Dr. Sally Vail & Dr. Linda Robson, PC
- General Practice Dentistry
- Mystic, CT
National Provider Identifier
1720208796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8134
- Legal business name
- DR. SALLY VAIL & DR. LINDA ROBSON, PC
- Practice address
- 64 Washington St
Mystic, CT 06355-2811 - Phone
- (860) 536-7100
- NPI assigned
- May 1, 2007
- Last updated
- Jun 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Gina Chinigo
- Title
- Office Manager
- Phone
- (860) 536-7100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8134 | CT | Primary |
Addresses
Primary practice location
64 Washington St
Mystic, CT 06355-2811
Mailing address
64 Washington St
Mystic, CT 06355-2811
Phone (860) 536-7100
National Provider Directory
National Provider DirectoryLocations
64 Washington St
Mystic, CT 06355
Phone (860) 536-7100
Practitioners & affiliated clinicians
Practitioners 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213833600000",
"number": "1720208796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 WASHINGTON ST",
"city": "MYSTIC",
"state": "CT",
"postal_code": "063552811",
"telephone_number": "860-536-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 WASHINGTON ST",
"city": "MYSTIC",
"state": "CT",
"postal_code": "063552811",
"telephone_number": "860-536-7100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. SALLY VAIL & DR. LINDA ROBSON, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-01",
"last_updated": "2008-06-19",
"status": "A",
"authorized_official_last_name": "CHINIGO",
"authorized_official_first_name": "GINA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "860-536-7100",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "8134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mystic, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.