Springdale Dental Group

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SPRINGDALE DENTAL GROUP

Practice address

1081 Hope St Ste a
Stamford, CT 06907-1824

Phone

(475) 217-0668

NPI assigned

Oct 25, 2018

Last updated

Oct 25, 2018By 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

Mrs. Joanne Arnold

Title

Practice Administrator

Phone

(475) 217-0668

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540425600000",
    "number": "1821565128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 HOPE ST STE A",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069071824",
            "telephone_number": "475-217-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 HOPE ST STE A",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069071824",
            "telephone_number": "475-217-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGDALE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-25",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "475-217-0668",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennie Miriam Spiegel, FNP-C
• Arielle Spitzer
• Abigail Spor
• Abigail Sprague
• Sarah Spring, P.A.-C
• Radhika Sreeram, MD
• SSP ABA Site One LLC
• St Camillus Stamford Opco LLC
• Emily Karen St Cyr, RN
• Rose St. Gilus, MD

• Dental Clinic/Center in Stamford, CT
• Providers in Stamford, CT by specialty
• Dental Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.