Gold Star Family Dentistry

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Legal business name

GOLD STAR FAMILY DENTISTRY

Practice address

489 Gold Star Hwy
Graton, CT 06340

Phone

(860) 326-5313

Fax

(860) 440-8447

NPI assigned

Oct 8, 2021

Last updated

Oct 8, 2021By 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

Rose M. Aubin, RDH

Title

Registered Dental Hygienist

Phone

(860) 326-5313

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1932861804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 GOLD STAR HWY",
            "city": "GRATON",
            "state": "CT",
            "postal_code": "06340",
            "telephone_number": "860-326-5313",
            "fax_number": "860-440-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 GOLD STAR HWY",
            "city": "GRATON",
            "state": "CT",
            "postal_code": "06340",
            "telephone_number": "860-326-5313",
            "fax_number": "860-440-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD STAR FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "AUBIN",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "REGISTERED DENTAL HYGIENIST",
        "authorized_official_telephone_number": "860-326-5313",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.