Dr. Dental of West Hartford, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10025 Issued in CT

Legal business name

DR. DENTAL OF WEST HARTFORD, PC

Practice address

18 Kane St
West Hartford, CT 06119-2109

Phone

(860) 585-9000

NPI assigned

Nov 30, 2011

Organization subpart

No

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

Authorized official

Name

Justin Marti

Title

Manager

Phone

(508) 353-3565

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1285901561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 KANE ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061192109",
            "telephone_number": "860-585-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 KANE ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061192109",
            "telephone_number": "860-585-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DENTAL OF WEST HARTFORD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "MARTI",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "508-353-3565"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "10025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Donofrio, MS, LMFT
• Michelle Donovan
• Susan Beth Dorfman, LPC
• Dr Antwi Eyecare LLC
• Dr. David Hovey & Associates, LLC
• Susan S Drake, LMFT
• William Dresser, PT
• Donald J Drew, D.D.S.
• Katherine L Drew
• Ailey A Driscoll

• General Practice Dentistry in West Hartford, CT
• Providers in West Hartford, 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 30, 2011; 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.