Raj Enterprises of Cromwell PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RAJ ENTERPRISES OF CROMWELL PLLC

Doing business as

Unicorn Dental Group

Practice address

28 Shunpike Rd Ste 7
Cromwell, CT 06416-2454

Phone

(860) 955-0995

NPI assigned

Jan 17, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Rupesh Pandey

Title

President

Phone

(860) 955-0995

Specialties & licenses 2

Addresses

Other names 1

• Unicorn Dental Group Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658448000000",
    "number": "1083365530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 STONE BROOK XING",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672933",
            "telephone_number": "860-955-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 SHUNPIKE RD STE 7",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162454",
            "telephone_number": "860-955-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJ ENTERPRISES OF CROMWELL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A",
        "authorized_official_last_name": "PANDEY",
        "authorized_official_first_name": "RUPESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-955-0995",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.unicorndentalgroup.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "28 Shunpike Rd Ste 7",
            "city": "Cromwell",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064162454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Unicorn Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Unicorn Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Nicole Provost
• Jessica Provost
• Psychiatric Services Associates, PC
• Jason Quint, PHARM.D
• Greta Raaen, PSY.D., LPC
• Escarlin Ramirez
• Ulrich Klaus Rathey, M.D.
• Marta Cristina Raviele, OT
• Lori Lynn Raye
• Reach to Be Limited Liability

• General Practice Dentistry in Cromwell, CT
• Providers in Cromwell, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.