NPIMap

Organization Active NPI

Advantage Dental Group, LLC

  • General Practice Dentistry
  • North Stonington, CT
National Provider Identifier
1760696595
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7928 Issued in CT
Legal business name
ADVANTAGE DENTAL GROUP, LLC
Practice address
391 Norwich Westerly Rd
Unit 2 G
North Stonington, CT 06359
Phone
(860) 535-2331
NPI assigned
May 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Linda Mrowka III
Title
Office Manager
Phone
(860) 535-2331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7928 CT Primary

Addresses

Primary practice location

391 Norwich Westerly Rd
Unit 2 G
North Stonington, CT 06359

Mailing address

391 Norwich Westerly Rd
Unit 2 G
North Stonington, CT 06359
Phone (860) 535-2331

National Provider Directory

National Provider Directory
Tax ID family
Advantage Dental Group LLC3 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.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760696595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 NORWICH WESTERLY RD",
            "address_2": "UNIT 2 G",
            "city": "NORTH STONINGTON",
            "state": "CT",
            "postal_code": "06359",
            "telephone_number": "860-535-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 NORWICH WESTERLY RD",
            "address_2": "UNIT 2 G",
            "city": "NORTH STONINGTON",
            "state": "CT",
            "postal_code": "06359",
            "telephone_number": "860-535-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MROWKA",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "860-535-2331",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "7928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Stonington, CT

Sources for this page

  • 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.