Courtney Teresa Regan, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13831 Issued in CT

Practice address

62 Kirkham St
Branford, CT 06405-3504

Phone

(203) 488-6314

Fax

(203) 488-6315

NPI assigned

Mar 31, 2022

Last updated

Feb 13, 2025By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aaron M Gross DMD LLC

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• Mendillo Family Dentistry PLLC

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• James H. Mendillo, DMD

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  NPD (past)

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1831839414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065172813",
            "telephone_number": "203-287-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 KIRKHAM ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053504",
            "telephone_number": "203-488-6314",
            "fax_number": "203-488-6315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Main St",
            "address_purpose": "LOCATION",
            "city": "East Haven",
            "state": "CT",
            "postal_code": "065122506",
            "country_code": "US",
            "telephone_number": "203-469-2711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1240 Whitney Ave",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "065172813",
            "country_code": "US",
            "telephone_number": "203-287-0666",
            "fax_number": "203-288-1851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REGAN",
        "first_name": "COURTNEY",
        "middle_name": "TERESA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "13831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Japneet Randhawa
• Alexandra Marie Raucci, LCSW
• Norman Aaron Ravski, M.D.
• Emily Melissa Recalde, LMSW
• Refocus Eye Health of Central Connecticut PC
• Rebecca Reilly, LCSW
• Sarah Reinwald
• Jessica Remy, LCSW
• Dawn Renaud, LMFT, LPC
• Restorative Wellness, LLC

• General Practice Dentistry in Branford, CT
• Providers in Branford, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.