Putnam Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010151 Issued in CT

Legal business name

PUTNAM FAMILY DENTAL

Practice address

233 Pomfret St
Putnam, CT 06260-1835

Phone

(860) 928-5334

NPI assigned

May 25, 2012

Organization subpart

No

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

Authorized official

Name

Alaa Ahmed, DMD

Title

Doctor/Owner

Phone

(860) 928-5334

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1154681948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 POMFRET ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601835",
            "telephone_number": "860-928-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 POMFRET ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601835",
            "telephone_number": "860-928-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "ALAA",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "860-928-5334",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priority Family Healthcare of Northeast Connecticut, LLC
• Psych Associates New England
• Putnam Board of Education
• Putnam Cardiology Associates, P.C.
• Putnam EMS Ambulance Service Inc
• Putnam Family Dental PC
• Putnam Medical Associates PC
• Putnam Taxi LLC
• Putnam Vision Center
• Aisha Quarshie

• General Practice Dentistry in Putnam, CT
• Providers in Putnam, 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 May 25, 2012; 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.