David E. Stubbs, DDS,P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

10956 Issued in CT

Legal business name

DAVID E. STUBBS, DDS,P.C.

Practice address

102 Boston Post Rd
Orange, CT 06477-3233

Phone

(203) 891-0656

Fax

(203) 891-0653

NPI assigned

Aug 6, 2014

Organization subpart

No

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

Authorized official

Name

Dr. David E. Stubbs, DDS

Title

Practice Owner

Phone

(203) 891-0656

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1881003671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773233",
            "telephone_number": "203-891-0656",
            "fax_number": "203-891-0653"
        },
        {
            "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": "203-891-0656",
            "fax_number": "203-891-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID E. STUBBS, DDS,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "STUBBS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "203-891-0656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "10956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.