Fairfield Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

FAIRFIELD PEDIATRIC DENTISTRY

Practice address

209 Boston Post Rd
Suite 201
Milford, CT 06460-3161

Phone

(203) 783-9994

Fax

(203) 783-9961

NPI assigned

Sep 3, 2008

Last updated

Jun 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jesus A VillegasNPI 1487791356

Title

Member/Dentist

Phone

(203) 783-9994

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jesus Abel Villegas, DDS

  • Pediatric Dentistry
  • Milford, CT
  • NPI 1487791356
  NPD (past) Authorized official

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1811145857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 BOSTON POST RD",
            "address_2": "SUITE 201",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603161",
            "telephone_number": "203-783-9994",
            "fax_number": "203-783-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 BOSTON POST RD",
            "address_2": "SUITE 201",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603161",
            "telephone_number": "203-783-9994",
            "fax_number": "203-783-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "VILLEGAS",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER/DENTIST",
        "authorized_official_telephone_number": "203-783-9994",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Rose Evans, MA
• Eye Associates of Milford, P.C.
• Eye Physicians & Surgeons, PC
• Eye Physicians & Surgeons, PC
• Eye Physicians & Surgeons, PC
• Patricia Falcione
• Dana Falkenstein, LCSW
• Family Dental Group Milford LLC
• Family Foot Care and Surgery, LLC
• Jiawei Fan, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.