Marie C Faynor, DDS

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

006915 Issued in CT

Practice address

42 W Purchase Rd
Southbury, CT 06488-1002

Phone

(203) 405-1242

NPI assigned

Jul 29, 2005

Last updated

Oct 3, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1811997893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 W PURCHASE RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064881002",
            "telephone_number": "203-405-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 W PURCHASE RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064881002",
            "telephone_number": "203-405-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAYNOR",
        "first_name": "MARIE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "CT",
            "license": "006915",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "6915",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002069153",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Public Health Dentistry in Southbury, CT
• Providers in Southbury, CT by specialty
• Public Health Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.