Organization Active NPI

Hamden Family Dental Center

  • General Practice Dentistry
  • Hamden, CT
National Provider Identifier
1184057192
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Feb 4, 2016

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

Authorized official

Name
Tam H Le, DMDNPI 1578675484
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.