Active NPI
Hamden Family Dental Center
- General Practice Dentistry
- Hamden, CT
National Provider Identifier
1184057192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- HAMDEN FAMILY DENTAL CENTER
- Practice address
- 4193 Whitney Ave
Hamden, CT 06518-1212 - Phone
- (203) 248-4080
- Fax
- (203) 248-4743
- NPI assigned
- Aug 13, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tam H Le, DMD
- Title
- Member
- Phone
- (203) 248-4080
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Periodontics | 1223P0300X |
Addresses
Primary practice location
4193 Whitney Ave
Hamden, CT 06518-1212
Mailing address
4193 Whitney Ave
Hamden, CT 06518-1212
Phone (203) 248-4080
National Provider Directory
National Provider DirectoryLocations
4193 Whitney Ave
Hamden, CT 06518
Phone (203) 248-4080
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454544000000",
"number": "1184057192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4193 WHITNEY AVE",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065181212",
"telephone_number": "203-248-4080",
"fax_number": "203-248-4743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4193 WHITNEY AVE",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065181212",
"telephone_number": "203-248-4080",
"fax_number": "203-248-4743"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAMDEN FAMILY DENTAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-13",
"last_updated": "2016-02-04",
"status": "A",
"authorized_official_last_name": "LE",
"authorized_official_first_name": "TAM",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "203-248-4080",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.