Om Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

011040 Issued in CT

Legal business name

OM DENTAL LLC

Practice address

35 Pearl St
Suite 1B 2B
New Britain, CT 06051-2644

Phone

(860) 224-9956

Fax

(860) 224-2511

NPI assigned

Aug 6, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Edgar Salas, D.M.D

Title

Member

Phone

(860) 224-9956

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1215313754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 PEARL ST",
            "address_2": "SUITE 1B 2B",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060512644",
            "telephone_number": "860-224-9956",
            "fax_number": "860-224-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 PEARL ST",
            "address_2": "SUITE 1B 2B",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060512644",
            "telephone_number": "860-224-9956",
            "fax_number": "860-224-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OM DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-06",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "SALAS",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-224-9956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "011040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Michele Okarmus, MS, LPC
• Olivia Oken
• Remilekun Abiodun Olaniba
• Oliva Healing, LLC
• Danielle Oliveira, FNP-C
• Ariel Ong, M.D.
• Uchechi Onyebuchi, APRN
• Victor Oraeki, DDS
• Stacy L. Orr, OTA
• Casey Orsini, LPC-A

• General Practice Dentistry in New Britain, CT
• Providers in New Britain, 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 Aug 6, 2015; 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.