Organization Active NPI

Elmwood and Main Dentistry LLC

  • Dental Clinic/Center
  • Old Saybrook, CT
National Provider Identifier
1972339927
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ELMWOOD AND MAIN DENTISTRY LLC
Practice address
105 Main St Unit 1
Old Saybrook, CT 06475-2393
Phone
(321) 591-4571
NPI assigned
Sep 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Authorized official

Name
Dr. Derek Chenet, DDSNPI 1851750426
Title
Owner Dentist
Phone
(321) 591-4571

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

105 Main St Unit 1
Old Saybrook, CT 06475-2393

Mailing address

105 Main St Ste a
Old Saybrook, CT 06475-2393
Phone (860) 388-9774

Other names 1

  • Harborview Dental Doing business as

National Provider Directory

National Provider Directory

Locations

105 Main St
Unit 1
Old Saybrook, CT 06475
Phone (321) 591-4571

105 Main St
Ste A
Old Saybrook, CT 06475
Phone (860) 388-9774

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": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1972339927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MAIN ST STE A",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752393",
            "telephone_number": "860-388-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MAIN ST UNIT 1",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752393",
            "telephone_number": "321-591-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMWOOD AND MAIN DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "CHENET",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "321-591-4571",
        "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": [
        {
            "organization_name": "Harborview Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Old Saybrook, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.