Ellington Dental Associates, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

CT7869 Issued in CT

Legal business name

ELLINGTON DENTAL ASSOCIATES, P.C.

Practice address

175 West Rd
Ellington, CT 06029-3730

Phone

(860) 872-2452

Fax

(860) 870-1385

NPI assigned

May 25, 2007

Last updated

Aug 22, 2020By 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. Joann Llois Vallera, D.D.S.NPI 1790991008

Title

President

Phone

(860) 872-2452

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Joann Lois Vallera, D.D.S.

  • General Practice Dentistry
  • Ellington, CT
  • NPI 1790991008
  Authorized official Same address or phone

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730390352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 WEST RD",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060293730",
            "telephone_number": "860-872-2452",
            "fax_number": "860-870-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 WEST RD",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060293730",
            "telephone_number": "860-872-2452",
            "fax_number": "860-870-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLINGTON DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VALLERA",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "LLOIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-872-2452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "CT7869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Conley, PA-C
• Core Speech and Language Therapy LLC
• Kristen Marie Diekmann, M. ED., LMFT
• Matthew Robert Dukehart, M.D.
• Loretta Lulu Eckhardt, MSPT
• Ellington Obstetrics & Gynecology Associates, P.C.
• Ellington Pediatrics
• Ellington Physical Therapy LLC
• Ellington Public Schools
• Ellington Volunteer Amb

• General Practice Dentistry in Ellington, CT
• Providers in Ellington, 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 Aug 22, 2020; 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.