NPIMap

Organization Active NPI

Resolute BPW, LLC

  • General Practice Dentistry
  • Waterford, CT
National Provider Identifier
1801446869
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RESOLUTE BPW, LLC
Doing business as
Raccio & Drew Dental Group, LLC
Practice address
256 Boston Post Rd
Waterford, CT 06385-2054
Phone
(860) 443-2428
NPI assigned
Sep 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Authorized official

Name
Gregory A Toback, DMD, MS
Title
Owner
Phone
(860) 443-2428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

256 Boston Post Rd
Waterford, CT 06385-2054

Mailing address

190 Hempstead St
New London, CT 06320-6248
Phone (860) 443-2428

Other names 1

  • Raccio & Drew Dental Group, LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.raccioanddrewdental.com/ Direct

National Provider Directory

National Provider Directory

Locations

262 Boston Post Rd
Unit 2
Waterford, CT 06385
Phone (860) 443-0861

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1801446869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 HEMPSTEAD ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063206248",
            "telephone_number": "860-443-2428",
            "fax_number": "860-442-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 BOSTON POST RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852054",
            "telephone_number": "860-443-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOLUTE BPW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "TOBACK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-443-2428",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.raccioanddrewdental.com/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "256 Boston Post Rd",
            "city": "Waterford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "063852054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Raccio & Drew Dental Group, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.