Jasmin Henville DMD - Libson PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JASMIN HENVILLE DMD - LIBSON PC

Doing business as

Aspen Dental

Practice address

193 River Rd Ste 230
Lisbon, CT 06351-3258

Phone

(860) 376-8800

NPI assigned

Jul 21, 2016

Last updated

Jul 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cathy Cluett

Title

Provider Enrollment Specialist

Phone

(315) 454-6000

Specialties & licenses 1

Addresses

Other names 1

• Aspen Dental Doing business as

Locations

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.

• Christian-Adebayo Ayeni

  • General Practice Dentistry
  • Lisbon, CT
  • NPI 1023795929
  NPD (past)
• Destiny Bradley

  • Dentist
  • Auburn, MA
  • NPI 1942900246
  NPD (past)
• Alexis Paris Gordon, DMD

  • Student in an Organized Health Care Education/Training Program
  • Nashville, TN
  • NPI 1720839293
  NPD (past)

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1912350299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 RIVER RD STE 230",
            "city": "LISBON",
            "state": "CT",
            "postal_code": "063513258",
            "telephone_number": "860-376-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASMIN HENVILLE DMD - LIBSON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "CLUETT",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "315-454-6000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanie I Hopkins, PA-C
• Corrie Sandra Hoyt, MA OF SCIENCE OF OT
• Hullistic Therapy, LLC
• Eric Hume, PHARMD
• Insight Enterprises
• Meredyth Joly, ATC
• Mark Kasabuski
• Kayla Nickerson, LMFT LLC
• Ryan Leblanc, PT
• Kimberly B Lebron, RPT

• General Practice Dentistry in Lisbon, CT
• Providers in Lisbon, 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 Jul 21, 2016; 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.