Provider Demographics
NPI:1033991021
Name:MONARCH ORTHODONTICS CORPORATION
Entity Type:Organization
Organization Name:MONARCH ORTHODONTICS CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIGAITIS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:203-309-2020
Mailing Address - Street 1:21 LOCUST ST APT 1N
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-6781
Mailing Address - Country:US
Mailing Address - Phone:248-767-8575
Mailing Address - Fax:
Practice Address - Street 1:106 NOROTON AVE STE 201
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:CT
Practice Address - Zip Code:06820-5237
Practice Address - Country:US
Practice Address - Phone:203-309-2020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty