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DR. WILLIAM E DEDOMINICIS DDS
NPI 1053456137
Dentist - General Practice in West Simsbury, CT

Active since February 20, 2007PECOS Enrolled
240 FARMS VILLAGE RD, WEST SIMSBURY, CT 06092(860) 651-3541(860) 651-9958 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. William E Dedominicis Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WILLIAM E DEDOMINICIS DDS (NPI 1053456137) is an individual general practice provider in West Simsbury, Connecticut, licensed in Connecticut (4308) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053456137
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. WILLIAM E DEDOMINICISCredential: DDS
Location Address240 FARMS VILLAGE RDWest Simsbury, CT 06092-0266
Mailing AddressPo Box 266, 240 Farms Village RdWest Simsbury, CT 06092-0266 · (860) 651-3541 · Fax (860) 651-9958
Phone(860) 651-3541
Fax(860) 651-9958
Sole ProprietorNo
Enumeration DateFebruary 20, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1053456137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CT · 4308
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
240 FARMS VILLAGE RD, West Simsbury, CT 06092
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. William E Dedominicis Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06092 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KENNETH R FINN DMD
Dentist (General Practice)
240 FARMS VILLAGE RD
WEST SIMSBURY, CT 06092
Capitol Planning Region (860) 651-3542
VALLEY DENTAL CENTER, LLC
Dentist (General Practice)
240 FARMS VILLAGE RD
WEST SIMSBURY, CT 06092
Capitol Planning Region (860) 651-3541
VERONICA MARIA PRZEDWORSKI DMD
Dentist (General Practice)
240 FARMS VILLAGE RD
WEST SIMSBURY, CT 06092
Capitol Planning Region (860) 651-3541

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Dedominicis's NPI number?

The NPI number for William Dedominicis is 1053456137. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Where is William Dedominicis located?

William Dedominicis practices at 240 Farms Village Rd, West Simsbury, CT 06092. The listed phone number is (860) 651-3541.

What is William Dedominicis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is William Dedominicis enrolled in Medicare?

Yes. William Dedominicis is registered in the Medicare PECOS enrollment system.

What insurance does William Dedominicis accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 2 other insurers list William Dedominicis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for William Dedominicis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.