Zottola Periodontal Group, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

008966 Issued in CT

Legal business name

ZOTTOLA PERIODONTAL GROUP, LLC

Doing business as

Zottola Family Dental

Practice address

2275 Silas Deane Hwy
Rocky Hill, CT 06067-2329

Phone

(860) 436-9571

Fax

(860) 436-9573

NPI assigned

Jan 28, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Paul-Henry H Zottola, DMD, MPHNPI 1114077492

Title

Owner

Phone

(860) 436-9571

Specialties & licenses 1

Addresses

Other names 1

• Zottola Family Dental Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

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.

• Paul-Henry H Zottola, D.M.D., M.P.H.

  • Periodontics
  • Rocky Hill, CT
  • NPI 1114077492
  NPD Authorized official

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1942531157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 SILAS DEANE HWY",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672329",
            "telephone_number": "860-436-9571",
            "fax_number": "860-436-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 SILAS DEANE HWY",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672329",
            "telephone_number": "860-436-9571",
            "fax_number": "860-436-9573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZOTTOLA PERIODONTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "ZOTTOLA",
        "authorized_official_first_name": "PAUL-HENRY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-436-9571",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD, MPH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "008966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zottola Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aimee Zagaja, LCSW
• Ibrahim Zaidan
• Selena Zhuo, PHARMD
• Anthony Zilahy, DC
• Kathryn Zima
• Paul-Henry H Zottola, D.M.D., M.P.H.

• General Practice Dentistry in Rocky Hill, CT
• Providers in Rocky Hill, 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 Mar 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.