NPIMap

Organization Active NPI

DG Dental Center LLC

  • General Practice Dentistry
  • Waterbury, CT
National Provider Identifier
1740439645
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
008397 Issued in CT
Legal business name
DG DENTAL CENTER LLC
Practice address
767 Wolcott Street
Waterbury, CT 06705-1324
Phone
(203) 753-5041
Fax
(203) 753-5044
NPI assigned
Sep 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
Dr. Doris P Gonzalez, DDS
Title
General Dentist
Phone
(203) 753-5041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 008397 CT Primary

Addresses

Primary practice location

767 Wolcott Street
Waterbury, CT 06705-1324

Mailing address

767 Wolcott St
Waterbury, CT 06705-1324
Phone (203) 753-5041

National Provider Directory

National Provider Directory
Tax ID family
Camuy Health Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

767 Wolcott St
Waterbury, CT 06705
Phone (203) 753-5041

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1740439645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 WOLCOTT ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067051324",
            "telephone_number": "203-753-5041",
            "fax_number": "203-753-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 WOLCOTT STREET",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067051324",
            "telephone_number": "203-753-5041",
            "fax_number": "203-753-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DG DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "203-753-5041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "008397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.