Glastonbury Smiles, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GLASTONBURY SMILES, PC

Practice address

1420 Main St
Glastonbury, CT 06033-3110

Phone

(860) 659-2400

NPI assigned

Jan 25, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Shari Mathew, DDS

Title

Owner

Phone

(860) 646-1360

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1952865784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 MAIN ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060333110",
            "telephone_number": "860-659-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 MAIN ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060333110",
            "telephone_number": "860-659-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLASTONBURY SMILES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-646-1360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Dental Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.