Grace Tylo LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GRACE TYLO LLC

Practice address

35 Cold Spring Rd Ste 324
Rocky Hill, CT 06067-3163

Phone

(860) 563-3330

Fax

(860) 563-3058

NPI assigned

Oct 22, 2018

Organization subpart

No

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

Authorized official

Name

Grace LoNPI 1306992623

Title

Dentist

Phone

(860) 563-3330

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Grace Lo, D.M.D.

  • General Practice Dentistry
  • Rocky Hill, CT
  • NPI 1306992623
  NPD (past) Authorized official

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1740756345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 COLD SPRING RD",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 COLD SPRING RD STE 324",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673163",
            "telephone_number": "860-563-3330",
            "fax_number": "860-563-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE TYLO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "860-563-3330"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glo2Go Home Health Care Services LLC
• Cleveland Glover Jr., LMT
• Michael Philip Goldstein, OD
• Aleksandr Gorenbeyn, M.D.
• Diana Vita Govola, APRN
• Alyssa Graham, LCSW
• Janiel Monae Green
• Christina Lynn Greisler, APRN
• Lorraine M Grodovich, DMD
• Laura M. Hall, PSY.D

• General Practice Dentistry in Rocky Hill, CT
• Providers in Rocky Hill, 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 Oct 22, 2018; 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.