Tribury Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

10890 Issued in CT

Legal business name

TRIBURY DENTAL, LLC

Practice address

714 Chase Pkwy
Waterbury, CT 06708-3012

Phone

(203) 574-1725

NPI assigned

Oct 30, 2014

Last updated

Oct 30, 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. Nicole H Mariano, DMDNPI 1467894139

Title

Owner

Phone

(203) 574-1725

Specialties & licenses 1

Addresses

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.

• Nicole H Mariano, DMD

  • General Practice Dentistry
  • Middlebury, CT
  • NPI 1467894139
  Authorized official Same address or phone

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1831594910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WOODSIDE AVE",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622857",
            "telephone_number": "203-574-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 CHASE PKWY",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083012",
            "telephone_number": "203-574-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIBURY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "MARIANO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-574-1725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CT",
            "license": "10890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linh Tran, PHARMD
• Tony Tran, OD
• Katelynd Lee Tremblay, DPT
• Ashley C Tresp, MSW
• Shalva Gail Trestman, AU.D.
• Tribury Orthopaedics
• Shanice Tianna Tricoche, LPC-A
• Trinity Health of New England Emergency Medical Services, Inc.
• Trinity Health of New England Urgent Care PLLC
• Trinity Medical Group, Inc.

• Dental Clinic/Center in Waterbury, CT
• Providers in Waterbury, 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 30, 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.