Organization Active NPI

Robert J. Gange, DDS,Ms,LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Vernon, CT
National Provider Identifier
1992934822
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
CT4562 Issued in CT
Legal business name
ROBERT J. GANGE, DDS,MS,LLC
Practice address
351 Merline Rd
Vernon, CT 06066-4040
Phone
(860) 875-1886
Fax
(860) 870-9091
NPI assigned
Jul 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Authorized official

Name
Robert Joseph Gange, DDS MS
Title
President
Phone
(860) 875-1886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X CT4562 CT Primary

Addresses

Primary practice location

351 Merline Rd
Vernon, CT 06066-4040

Mailing address

351 Merline Rd
Vernon, CT 06066-4040
Phone (860) 875-1886

National Provider Directory

National Provider Directory

Locations

351 Merline Rd
Vernon Rockville, CT 06066
Phone (860) 872-7325

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": "1247443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1992934822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 MERLINE RD",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664040",
            "telephone_number": "860-875-1886",
            "fax_number": "860-870-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 MERLINE RD",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664040",
            "telephone_number": "860-875-1886",
            "fax_number": "860-870-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. GANGE, DDS,MS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-13",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "GANGE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-875-1886",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "CT4562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.