New Hartford Dental
Organization Active NPI General Practice Dentistry · New Hartford, CT
NPI 1013125814 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1013125814
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- NEW HARTFORD DENTAL
- Practice address
- 512 Main Street
New Hartford, CT 06057 - Phone
- (860) 379-0408
- Fax
- (860) 379-0408
- NPI assigned
- May 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Carlos Braverman, D.D.S.
- Title
- Ceo
- Phone
- (860) 379-0408
Corporate family (same tax ID) 3
Practitioners 1
-
Carlos Braverman, D.D.S.
National Provider Directory
- Tax ID family
- Artistic Dental Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | CT | Yes |
Addresses
Primary practice location
512 Main Street
New Hartford, CT 06057
Mailing address
37 Simsbury Manor Dr
Weatogue, CT 06089-9709
Phone (860) 379-0408
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All providers in New Hartford, CT · General Practice Dentistry in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.