Jeremiah N. O'Dwyer, DDS, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

008157 Issued in CT

Legal business name

JEREMIAH N. O'DWYER, DDS, LLC

Practice address

15 Middle Tpke W
Manchester, CT 06040-4045

Phone

(860) 643-6992

Fax

(860) 645-1882

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeremiah N. O'Dwyer, DDSNPI 1811324312

Title

President

Phone

(860) 643-6992

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jeremiah N O'Dwyer

  • General Practice Dentistry
  • Manchester, CT
  • NPI 1811324312
  NPD (past) Authorized official

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1770659138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MIDDLE TPKE W",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404045",
            "telephone_number": "860-643-6992",
            "fax_number": "860-645-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MIDDLE TPKE W",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404045",
            "telephone_number": "860-643-6992",
            "fax_number": "860-645-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMIAH N. O'DWYER, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "O'DWYER",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-643-6992",
        "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": "008157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey H. Katz, M.D., L.L.C.
• Anthony Jenkins
• Damon Jenkins, DMD
• Jennifer Espinoza PSYD LLC
• Amy Jensen
• Alyson Lynn Jessel, PA-C
• Tyra Karleeta Johnson Smith
• Avina Johnson
• Christina L Johnson
• Clifford Johnson, ACSW,LCSW

• General Practice Dentistry in Manchester, CT
• Providers in Manchester, 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 Apr 9, 2012; 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.