Dental Sleep Medicine of Central Connecticut, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

DENTAL SLEEP MEDICINE OF CENTRAL CONNECTICUT, LLC

Practice address

955 S Main St Ste B
Middletown, CT 06457-5153

Phone

(860) 346-6737

Fax

(860) 704-0239

NPI assigned

Nov 17, 2017

Organization subpart

No

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

Authorized official

Name

Michele Salonia, DMD

Title

Dentist

Phone

(860) 346-6737

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Michele Salonia Boccalatte, D.M.D

  • General Practice Dentistry
  • Middletown, CT
  • NPI 1477580538
  NPD (past)

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510876800000",
    "number": "1740794445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 S MAIN ST STE B",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064575153",
            "telephone_number": "860-346-6737",
            "fax_number": "860-704-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 S MAIN ST STE B",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064575153",
            "telephone_number": "860-346-6737",
            "fax_number": "860-704-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SLEEP MEDICINE OF CENTRAL CONNECTICUT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-17",
        "last_updated": "2017-11-17",
        "status": "A",
        "authorized_official_last_name": "SALONIA",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "860-346-6737",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5646",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1477580538",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Demakovsky, PHD
• Rachel Demarco, APRN
• Stacy Demarco, LCSW
• Kathleen A Demino, LCSW
• Deanna Dennis, RDH
• Dentistryone of Connecticut Derek Weigand PC
• Suelen Deoliveira, APRN
• Corrina E Desautels
• Janice Desi, PA
• Matthew Desir

• All providers in Middletown, CT
• Customized Equipment (DME) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; 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.