First Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FIRST DENTAL LLC

Practice address

325 Reef Rd Ste 106
Fairfield, CT 06824-6537

Phone

(203) 292-5753

NPI assigned

Dec 11, 2017

Organization subpart

No

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

Authorized official

Name

Chang Hyun NA

Title

Owner

Phone

(203) 292-5753

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512950400000",
    "number": "1174038327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 REEF RD STE 106",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 REEF RD STE 106",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246537",
            "telephone_number": "203-292-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A",
        "authorized_official_last_name": "NA",
        "authorized_official_first_name": "CHANG HYUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-292-5753"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008025885",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Salvatore Ferretti
• Joseph Frederick Fickes, MD
• Kenneth C Fine, MD
• Linda Wilson Finnie, M.S..LMFT
• Edward V. Finnigan, DDS
• First Impressions Orthodontics
• Elise Fisher, MS, RD
• Robert F. Fishman, M.D.
• James J Fitzgibbons, M.D.
• Silvana Fix, PT

• General Practice Dentistry in Fairfield, CT
• Providers in Fairfield, 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 Dec 11, 2017; 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.