OrganizationActive
Addison Village Dental, Inc
NPI 1265863518 · General Practice Dentistry · Glastonbury, CT
Provider details
- NPI number
- 1265863518
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Gabriela Vatafu, President(646) 752-2005
- License
- 009515 (CT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
969 Hebron Ave
Glastonbury, CT 06033-5033
Phone: (646) 752-2005
Street-level locationGet directions
Mailing address
969 Hebron Ave
Glastonbury, CT 06033-5033
Registry dates
- Enumerated
- 2013-12-11
- Last updated
- 2021-12-02
- Certified
- 2021-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.