Clinton Family Dentistry, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

7503 Issued in CT

Legal business name

CLINTON FAMILY DENTISTRY, LLC

Doing business as

Clinton Family Dentistry, LLC

Practice address

145R E Main St
Clinton, CT 06413-2104

Phone

(860) 669-2700

NPI assigned

Sep 19, 2016

Last updated

Sep 19, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

CLINTON FAMILY DENTISTRY, LLCAs reported in NPPES

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

Authorized official

Name

Richard Panagrossi, DMD

Title

Owner

Phone

(860) 669-2700

Specialties & licenses 2

Addresses

Other names 1

• Clinton Family Dentistry, LLC Doing business as

Part of

Clinton Family Dentistry LLC

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.

• Christopher S Gatehouse, DMD

  • Dentist
  • Clinton, CT
  • NPI 1891082616
  NPD (past)

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474243200000",
    "number": "1730637703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145R E MAIN ST",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064132104",
            "telephone_number": "860-669-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145R E MAIN ST",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064132104",
            "telephone_number": "860-669-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON FAMILY DENTISTRY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLINTON FAMILY DENTISTRY, LLC",
        "enumeration_date": "2016-09-19",
        "last_updated": "2016-09-19",
        "status": "A",
        "authorized_official_last_name": "PANAGROSSI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-669-2700",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "7503",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "8902",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinton Family Dentistry, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenneth Spencer Carlough, DMD
• Carolyn B Carroll, MD
• Child & Adult Orthodontics PC
• Brittany Lee Ciarcia, LCSW
• Clinton Alf Operations LLC (Ocean Meadow Senior Living)
• Clinton Human Services
• Clinton Human Services LPC
• Clinton Markets LLC (Shoprite Pharmacy of Clinton)
• Clinton Public Schools
• Clinton Volunteer Fire Department Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.