Dental Associate Group LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

009413 Issued in CT

Legal business name

DENTAL ASSOCIATE GROUP LLC

Practice address

4154 Madison Ave
2ND Floor
Trumbull, CT 06611-3563

Phone

(203) 374-0000

Fax

(203) 374-0002

NPI assigned

Jan 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Sheikh M Ilyas, D.D.S

Title

Owner

Phone

(203) 374-0000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1932404548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4154 MADISON AVE",
            "address_2": "2ND FLOOR",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113563",
            "telephone_number": "203-374-0000",
            "fax_number": "203-374-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4154 MADISON AVE",
            "address_2": "2ND FLOOR",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113563",
            "telephone_number": "203-374-0000",
            "fax_number": "203-374-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "ILYAS",
        "authorized_official_first_name": "SHEIKH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-374-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "009413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Delibero
• Robert Dembosky
• Pantelis Demestihas, RPH, MS
• Devonique Davinna Dempster
• Nancy L Dennert, APRN
• Dental Center
• Dental Center of CT PC
• Dental Group of CT
• Ashley Denunzio
• Kanan Tusharbhai Desai, MD MPH

• General Practice Dentistry in Trumbull, CT
• Providers in Trumbull, 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 Jan 13, 2011; 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.