Dr. Ukti G. Phadnis LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010633 Issued in CT

Legal business name

DR. UKTI G. PHADNIS LLC

Practice address

55 Town Line Rd Ste 100
Wethersfield, CT 06109-4317

Phone

(860) 400-3007

NPI assigned

Nov 22, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Ukti G Phadnis, DMDNPI 1255608626

Title

General Dentist

Phone

(203) 300-3288

Specialties & licenses 1

Addresses

Other names 1

• Wethersfield Dental Group Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ukti Gohel Phadnis, DMD

  • General Practice Dentistry
  • Wethersfield, CT
  • NPI 1255608626
  NPD (past) Authorized official

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1265975353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 TOWN LINE RD STE 100",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094317",
            "telephone_number": "860-400-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 TOWN LINE RD STE 100",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094317",
            "telephone_number": "860-400-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. UKTI G. PHADNIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "PHADNIS",
        "authorized_official_first_name": "UKTI",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "203-300-3288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wethersfield Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Susan Doty
• Carey B Downes, MA, LPC
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• Dr. Nguyen Associates LLC
• Dr. Roberto Medina, MD LLC
• Dr.Matthew Carbone Family Chiropractic
• Cheryl A. Drezek, P.A-C
• Lauren Dubois
• Holly Dufresne, P.T.
• Francesca M Durant, PT

• General Practice Dentistry in Wethersfield, CT
• Providers in Wethersfield, 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 Nov 22, 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.