Dante Paolino, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

011680 Issued in CT

Practice address

192 Main St
Manchester, CT 06042-3581

Phone

(860) 649-4655

NPI assigned

Mar 3, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Dental Assoc P.C.

  • Pediatric Dentistry
  • Manchester, CT
  • NPI 1851329510
  NPD (past)

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1770975575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060423581",
            "telephone_number": "860-649-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060423581",
            "telephone_number": "860-649-4655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 Middleroad Tpke",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "CT",
            "postal_code": "06798",
            "country_code": "US",
            "telephone_number": "203-592-0079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAOLINO",
        "first_name": "DANTE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-03",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "011680",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "011680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Thomas Palmer
• Jessica L Palozie, NP
• Maria Panagioatakakos
• Abhi Pandhi, MBBS
• Angel K Pantano
• Julia Papaleo
• Maria Rose Pappa, LCSW
• Mary T Paquette, APRN
• Paradigm Chiropractic and Functional Medicine, Inc
• Jennifer Ann Paradis

• Pediatric Dentistry in Manchester, CT
• Providers in Manchester, CT by specialty
• Pediatric Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.