Active NPI
Newington Dentistry and Braces Inc
- Dentist
- Newington, CT
National Provider Identifier
1982179990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- NEWINGTON DENTISTRY AND BRACES INC
- Practice address
- 2985 Berlin Tpke Unit 7a
Newington, CT 06111-4601 - Phone
- (860) 748-4888
- Fax
- (860) 748-4887
- NPI assigned
- Oct 5, 2018
- 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
- Joanne Tavano
- Title
- Cfo
- Phone
- (978) 580-1524
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
2985 Berlin Tpke Unit 7a
Newington, CT 06111-4601
Mailing address
5 Mount Royal Ave Ste 300
Marlborough, MA 01752-1900
Phone (508) 460-0632
National Provider Directory
National Provider DirectoryLocations
2985 Berlin Tpke
Unit 7A
Newington, CT 06111
Phone (860) 748-4888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587600000000",
"number": "1982179990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 MOUNT ROYAL AVE STE 300",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017521900",
"telephone_number": "508-460-0632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2985 BERLIN TPKE UNIT 7A",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "061114601",
"telephone_number": "860-748-4888",
"fax_number": "860-748-4887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEWINGTON DENTISTRY AND BRACES INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-05",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A",
"authorized_official_last_name": "TAVANO",
"authorized_official_first_name": "JOANNE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "978-580-1524"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newington, CT
- Newington Board of Education
- Newington Children'S Dentistry
- Newington Counseling & Consulting Services, LLC
- Newington Dental Care PLLC
- Newington Dental Care, PLLC
- Newington Internal Medicine Primary Care,LLP
- Newington Medical Associates Comprehensive Care
- Newington Volunteer Ambulance Corps Incorporated
- Thuy Thanh Nguyen
- Wendy Nichols, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.