AVON VILLAGE FAMILY DENTISTRY
NPI 1376663609
Dentist - General Practice in Avon, CT

Q: What is Avon Village Family Dentistry's NPI number?

The NPI number for Avon Village Family Dentistry is 1376663609. It was assigned to this organization in the NPPES registry on March 30, 2007.

Q: What is Avon Village Family Dentistry's specialty?

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

Active since March 30, 2007

32 EAST MAIN STREET, AVON, CT 06001(860) 678-1140(860) 284-4423 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2024, Aug 3, 2017 (2 updates tracked since 2017).

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About Avon Village Family Dentistry NPPES

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

AVON VILLAGE FAMILY DENTISTRY (NPI 1376663609) is a healthcare organization registered as a general practice in Avon, Connecticut and active in the NPI registry since March 2007. The organization lists Lauren M Mentasti, Owner, as its authorized official.

NPPES Registry Identity

NPI1376663609

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameAVON VILLAGE FAMILY DENTISTRY

Location Address32 EAST MAIN STREETAvon, CT 06001-1039

Mailing Address32 East Main StreetAvon, CT 06001-1039 · (860) 678-1140 · Fax (860) 284-4423

Phone(860) 678-1140

Fax(860) 284-4423

Organization SubpartNo

Authorized OfficialLauren M MentastiOwner · (860) 678-1140

Enumeration DateMarch 30, 2007

Last NPPES UpdateFebruary 5, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2024

✔ NPI 1376663609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X

32 EAST MAIN STREET, Avon, CT 06001

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Other Names 1

Former Legal Business NameAvon Village Family Dentistry

Other Identifiers 1

Medicaid7587810001CT

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 Avon Village Family Dentistry's NPI number?

The NPI number for Avon Village Family Dentistry is 1376663609. It was assigned to this organization in the NPPES registry on March 30, 2007.

Where is Avon Village Family Dentistry located?

Avon Village Family Dentistry is located at 32 East Main Street, Avon, CT 06001. The listed phone number is (860) 678-1140.

What is Avon Village Family Dentistry's specialty?

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

When was this NPI record last updated?

The NPPES record for Avon Village Family Dentistry was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.