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

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, DMD

Title

Owner

Phone

(203) 574-1725

Specialties & licenses 1

Addresses

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
• Vincent Frederick Tremaglio, M.D.
• Katelynd Lee Tremblay, DPT
• Ashley C Tresp, MSW
• Tribury Orthopaedics
• Shanice Tianna Tricoche, LPC-A
• Trinity Health of New England Emergency Medical Services, Inc.
• Trinity Medical Group, Inc.
• Paul Tripodi, BA

• 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.