Organization
GARGANO FAMILY DENTISTRY
Active
Organization
GARGANO FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE D HODGE (CREDENTIALING MANAGER)
(347) 523-2161
Entity
Organization
Contact information
Practice address
21 WASHINGTON AVE STE A, NORTH HAVEN, CT 06473-2368
(203) 239-2356
(203) 239-3985
Mailing address
21 WASHINGTON AVE STE A, NORTH HAVEN, CT 06473-2368
(203) 239-2356
(203) 239-3985
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
—
—
125J00000X
Dental Therapist
—
—
125K00000X
Advanced Practice Dental Therapist
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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