Bristol Plaza Family Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BRISTOL PLAZA FAMILY DENTAL

Practice address

1192 Farmington Ave
Unit D
Bristol, CT 06010-4752

Phone

(860) 223-2000

NPI assigned

May 25, 2010

Organization subpart

No

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

Authorized official

Name

Julia Faigel

Title

Owner

Phone

(860) 223-2000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1285953653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1192 FARMINGTON AVE",
            "address_2": "UNIT D",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1192 FARMINGTON AVE",
            "address_2": "UNIT D",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104752",
            "telephone_number": "860-223-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL PLAZA FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "FAIGEL",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-223-2000"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Bristol, CT
• Providers in Bristol, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.