P & L Venture LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

007375 Issued in CT

Legal business name

P & L VENTURE LLC

Practice address

102 Boston Post Rd
Orange, CT 06477-3233

Phone

(203) 596-1960

NPI assigned

Aug 24, 2017

Organization subpart

No

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

Authorized official

Name

Lon Polverari, DMD

Title

Owner

Phone

(203) 596-1960

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503532800000",
    "number": "1861919409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 WOLCOTT ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067051315",
            "telephone_number": "203-596-1960",
            "fax_number": "203-596-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773233",
            "telephone_number": "203-596-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P & L VENTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2017-08-24",
        "status": "A",
        "authorized_official_last_name": "POLVERARI",
        "authorized_official_first_name": "LON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-596-1960",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CT",
            "license": "007375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oresta L Bilous DMD,LLC
• Danielle Lynn Ortegon, PHARM. D
• Waleska Ortiz-Ayala, APRN
• Kristy M Ouellette, BC-HIS
• Everette Elizabeth Oxrider, RN
• Judith Palazzo
• Daniel Palese, MA, MT-BC, LCAT
• Amanda Linn Paradiso, PA-C
• Mario Paredes, DPT
• Stephanie Parente, LCSW

• Dental Clinic/Center in Orange, CT
• Providers in Orange, 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 Aug 24, 2017; 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.