Organization Active NPI

Wilton Pediatric Dentistry, LLC

Doing business as Wilton Pediatric Dentistry

  • Pediatric Dentistry
  • Wilton, CT
National Provider Identifier
1952894743
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
WILTON PEDIATRIC DENTISTRY, LLC
Doing business as
Wilton Pediatric Dentistry
Practice address
101 Old Ridgefield Rd Ste 103
Wilton, CT 06897-3047
Phone
(203) 529-1242
NPI assigned
Jun 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Authorized official

Name
Dr. Ashleigh Sebro, DDSNPI 1497098511
Title
Owner
Phone
(203) 529-1242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

101 Old Ridgefield Rd Ste 103
Wilton, CT 06897-3047

Mailing address

101 Old Ridgefield Rd Ste 103
Wilton, CT 06897-3047
Phone (203) 529-1242

Other names 1

  • Wilton Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

101 Old Ridgefield Rd
Ste 103
Wilton, CT 06897
Phone (203) 529-1242

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1952894743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 OLD RIDGEFIELD RD STE 103",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068973047",
            "telephone_number": "203-529-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OLD RIDGEFIELD RD STE 103",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068973047",
            "telephone_number": "203-529-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILTON PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-07",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "SEBRO",
        "authorized_official_first_name": "ASHLEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-529-1242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilton Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.