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

Last updated

Dec 17, 2019By 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

Dr. Shari Mathew, DDSNPI 1831196948

Title

Owner

Phone

(860) 646-1360

Specialties & licenses 1

Addresses

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.

• Shari Mathew, DDS

  • General Practice Dentistry
  • Manchester, CT
  • NPI 1831196948
  Authorized official Same address or phone

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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• Glastonbury Podiatry Group
• Glastonbury Psychiatric Care LLC
• Glastonbury Psychological Associates, PC
• Glastonbury Public Schools
• Glastonbury Surgery Center, LLC
• Glastonbury Vascular Associates PC
• Glastonbury Volunteer Ambulance Association Inc
• Richard Dennis Glisson, D.O.
• Gloria Annitto Olgas Lingerie (Gloria Annitto)

• 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.