Organization Active NPI

Forella and Donahue Dentistry LLC

Doing business as Fairfield Dental Arts

  • General Practice Dentistry
  • Fairfield, CT
National Provider Identifier
1912650045
Registry record updated Jan 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FORELLA AND DONAHUE DENTISTRY LLC
Doing business as
Fairfield Dental Arts
Practice address
320 Post Rd
Fairfield, CT 06824-6220
Phone
(203) 254-3780
NPI assigned
Jan 29, 2022
Last updated
Jan 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2022

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

Authorized official

Name
Dr. Jessalyn Forella, DDSNPI 1710487822
Title
Owner Dentist
Phone
(203) 254-3780

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 Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

320 Post Rd
Fairfield, CT 06824-6220

Mailing address

320 Post Rd
Fairfield, CT 06824-6220
Phone (203) 254-3780

Other names 1

  • Fairfield Dental Arts Doing business as

National Provider Directory

National Provider Directory

Locations

320 Post Rd
Fairfield, CT 06824
Phone (203) 254-3780

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": "1643414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643414400000",
    "number": "1912650045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246220",
            "telephone_number": "203-254-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246220",
            "telephone_number": "203-254-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORELLA AND DONAHUE DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-29",
        "last_updated": "2022-01-29",
        "certification_date": "2022-01-29",
        "status": "A",
        "authorized_official_last_name": "FORELLA",
        "authorized_official_first_name": "JESSALYN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "203-254-3780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairfield Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2022; 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.