NPIMap

Organization Active NPI

Connecticut Dental Professionals, P.C.

Doing business as Quarry Smiles

  • General Practice Dentistry
  • Oxford, CT
National Provider Identifier
1083256226
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CONNECTICUT DENTAL PROFESSIONALS, P.C.
Doing business as
Quarry Smiles
Practice address
276 Oxford Rd Ste 2
Oxford, CT 06478-1956
Phone
(203) 684-5808
NPI assigned
Oct 9, 2019
Last updated
Oct 24, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CONNECTICUT DENTAL PROFESSIONALS, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Authorized official

Name
Hannah Fish
Title
Credentialing Manager
Phone
(217) 540-5699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

276 Oxford Rd Ste 2
Oxford, CT 06478-1956

Mailing address

276 Oxford Rd Ste 2
Oxford, CT 06478-1956
Phone (203) 463-4309

Other names 1

  • Quarry Smiles Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Connecticut Dental Professionals PC9 organizations share this tax ID, including this one
Part of
Connecticut Dental Professionals PC

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

276 Oxford Rd
#2
Oxford, CT 06478
Phone (203) 463-4309

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1083256226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 OXFORD RD STE 2",
            "city": "OXFORD",
            "state": "CT",
            "postal_code": "064781956",
            "telephone_number": "203-463-4309",
            "fax_number": "203-828-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 OXFORD RD STE 2",
            "city": "OXFORD",
            "state": "CT",
            "postal_code": "064781956",
            "telephone_number": "203-684-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT DENTAL PROFESSIONALS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONNECTICUT DENTAL PROFESSIONALS, P.C.",
        "enumeration_date": "2019-10-09",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "217-540-5699"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quarry Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.