NPIMap

Organization Active NPI

Thompson Town Dental PLLC

Doing business as Mountain Grove Dental

  • Clinic/Center
  • Monticello, NY
National Provider Identifier
1992397350
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
THOMPSON TOWN DENTAL PLLC
Doing business as
Mountain Grove Dental
Practice address
23 High St
Monticello, NY 12701-1331
Phone
(908) 591-7858
NPI assigned
Feb 8, 2021
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Steven Wills AlbertNPI 1972854776
Title
Owner
Phone
(845) 477-1447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

23 High St
Monticello, NY 12701-1331

Mailing address

23 High St
Monticello, NY 12701-1331
Phone (908) 591-7858

Other names 1

  • Mountain Grove Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dailey Family Dental4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1992397350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 HIGH ST",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127011331",
            "telephone_number": "908-591-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 HIGH ST",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127011331",
            "telephone_number": "908-591-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON TOWN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2023-09-06",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "ALBERT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "WILLS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-477-1447"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Grove Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monticello, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.