Cosmetic and Reconstructive Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8447 Issued in CT

Legal business name

COSMETIC AND RECONSTRUCTIVE DENTISTRY

Practice address

1275 Post Rd
Fairfield, CT 06824-6015

Phone

(203) 254-5687

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Donald William Miller, DMD

Title

Dentist

Phone

(203) 255-6878

Specialties & licenses 1

Addresses

Tax ID family

Cosmetic and Reconstructive Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cosmetic and Reconstructive Dentistry Associates, P.C.

  • General Practice Dentistry
  • Fairfield, CT
  • NPI 1508993817
  NPD tax ID

Locations

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851454979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246015",
            "telephone_number": "203-254-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246015",
            "telephone_number": "203-254-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC AND RECONSTRUCTIVE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "203-255-6878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "8447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma S Cooke, ND
• Megan Cooke, PHARMD
• Mikala Marie Coppolella, MA, LPC
• Tara Core, LPCA
• Nicole E Cornelio, PA
• Cosmetic and Reconstructive Dentistry Associates, P.C.
• Catherine Cote
• Counseling & Family Therapy Center
• John R Cox, DPT
• Brittany Craiglow, MD

• General Practice Dentistry in Fairfield, CT
• Providers in Fairfield, 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 Aug 22, 2020; 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.