Organization Active NPI

Vernon Family Dentists

  • General Practice Dentistry
  • Vernon, CT
National Provider Identifier
1881813764
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8497 Issued in CT
Legal business name
VERNON FAMILY DENTISTS
Practice address
351 Merline Rd
Suite 301
Vernon, CT 06066-4040
Phone
(860) 875-5664
Fax
(860) 875-0520
NPI assigned
Apr 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael Shlafstein, DDSNPI 1164641031
Title
Dentist
Phone
(860) 875-5664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8497 CT Primary

Addresses

Primary practice location

351 Merline Rd
Suite 301
Vernon, CT 06066-4040

Mailing address

351 Merline Rd
Suite 301
Vernon, CT 06066-4040
Phone (860) 875-5664

National Provider Directory

National Provider Directory

Locations

351 Merline Rd
Ste 301
Vernon, CT 06066
Phone (860) 875-5664

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881813764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 MERLINE RD",
            "address_2": "SUITE 301",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664040",
            "telephone_number": "860-875-5664",
            "fax_number": "860-875-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 MERLINE RD",
            "address_2": "SUITE 301",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664040",
            "telephone_number": "860-875-5664",
            "fax_number": "860-875-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON FAMILY DENTISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHLAFSTEIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "860-875-5664",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "8497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

  • 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.