Family Dentistry of Hartford PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FAMILY DENTISTRY OF HARTFORD PLLC

Practice address

19 Woodland St Ste 25
Hartford, CT 06105-2335

Phone

(860) 247-2532

NPI assigned

Dec 29, 2017

Last updated

Dec 29, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janie Padilla

Title

Manager

Phone

(203) 751-9657

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514505600000",
    "number": "1295242238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 WOODLAND ST STE 25",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 WOODLAND ST STE 25",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052335",
            "telephone_number": "860-247-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTISTRY OF HARTFORD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-29",
        "last_updated": "2017-12-29",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "JANIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "203-751-9657"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca A. Fairchild, CRNP
• Sapphire R Fairchild
• Whitney Fairchild, MSN, APRN, FNP-BC
• Priyansh Faldu
• Madeline Gail Fall, LMSW
• Family Dentistry of Hartford, LLC
• Family Matters LLC
• Family Therapy Services LLC
• Family Therapy Works LLC
• Familycareofhartford Corp

• General Practice Dentistry in Hartford, CT
• Providers in 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 Dec 29, 2017; 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.