Greenwich Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GREENWICH DENTAL LLC

Doing business as

Greenwich Dental

Practice address

100 Melrose Ave
Greenwich, CT 06830-6257

Phone

(203) 622-3068

Fax

(203) 622-3069

NPI assigned

Jul 12, 2021

Last updated

Jul 12, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

GREENWICH DENTAL LLCAs reported in NPPES

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

Authorized official

Name

Dr. Judith Cordero, DDSNPI 1730103334

Title

Owner

Phone

(203) 622-3068

Specialties & licenses 1

Addresses

Other names 1

• Greenwich Dental Doing business as

Electronic endpoints 1

Part of

Greenwich Dental LLC

Locations

Practitioners 1

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.

• Judith Lynne Cordero, DDS

  • General Practice Dentistry
  • Greenwich, CT
  • NPI 1730103334
  Authorized official Same address or phone

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1922670819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MELROSE AVE",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306257",
            "telephone_number": "203-622-3068",
            "fax_number": "203-622-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MELROSE AVE",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306257",
            "telephone_number": "203-622-3068",
            "fax_number": "203-622-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWICH DENTAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREENWICH DENTAL LLC",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "CORDERO",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-622-3068",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Greenwich",
            "affiliation": "N",
            "address_1": "100 Melrose Ave",
            "city": "Greenwich",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068306257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Greenwich Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Greenwich Chiropractic & Nutrition LLC
• Greenwich Clinical Pathology Associates LLC
• Greenwich Counseling
• Greenwich Dental Care
• Greenwich Dental Group, LLC
• Greenwich Ear Nose & Throat PC
• Greenwich Endoscopy Center LLC
• Greenwich Eye Center (Diamond Vision)
• Greenwich Family Therapy LLC
• Greenwich Fertility & Ivf Center

• General Practice Dentistry in Greenwich, CT
• Providers in Greenwich, 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 12, 2021; 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.