Organization Active NPI

Reliable Dental Orange Inc.

  • General Practice Dentistry
  • Orange, CT
National Provider Identifier
1023780921
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RELIABLE DENTAL ORANGE INC.
Practice address
102 Boston Post Rd
Orange, CT 06477-3233
Phone
(203) 795-1600
NPI assigned
Sep 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Longqian Wang
Title
President
Phone
(929) 285-8883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

102 Boston Post Rd
Orange, CT 06477-3233

Mailing address

102 Boston Post Rd
Orange, CT 06477-3233

Other names 1

  • Reliable Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1023780921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773233",
            "telephone_number": "203-795-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE DENTAL ORANGE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "LONGQIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-285-8883"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reliable Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.