Grilli Family Dental Care LLC

Primary specialty

DentistTaxonomy code 122300000X

License

8941 Issued in CT

Legal business name

GRILLI FAMILY DENTAL CARE LLC

Practice address

435 Buckland Road
Medical Arts Building
South Windsor, CT 06074

Phone

(860) 644-1509

Fax

(860) 644-1509

NPI assigned

Aug 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gary L Grilli, DDS

Title

Owner

Phone

(860) 644-1509

Specialties & licenses 2

Addresses

Other names 1

• Gary L Grilli DDS & Gary F Grilli DMD Former legal business name

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902814692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 BUCKLAND ROAD",
            "address_2": "MEDICAL ARTS BUILDING",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "06074",
            "telephone_number": "860-644-1509",
            "fax_number": "860-644-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 BUCKLAND ROAD",
            "address_2": "MEDICAL ARTS BUILDING",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "06074",
            "telephone_number": "860-644-1509",
            "fax_number": "860-644-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRILLI FAMILY DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRILLI",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-644-1509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "4251",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "8941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gary L Grilli DDS & Gary F Grilli DMD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Pamela Grenier
• Danielle M. Grieco, M.D.
• Griffin Counseling Services, LLC
• Catherine M. Griffin
• Christopher J Griffin, M.A., L.P.C.
• Gary F Grilli, D.M.D
• Gary L Grilli, DDS
• Grillo Dental, L.L.C.
• Zachary T Grillo, DMD
• Jennifer C Guerrette

• Dentist in South Windsor, CT
• Providers in South Windsor, CT by specialty
• Dentist 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.