Active NPI
Elmwood and Main Dentistry LLC
- Dental Clinic/Center
- Old Saybrook, CT
National Provider Identifier
1972339927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Derek Chenet, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Old Saybrook, CT
- NPI 1851750426
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.