Waterford Dental Health

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6180 Issued in CT

Legal business name

WATERFORD DENTAL HEALTH

Practice address

177 Boston Post Road
Waterford, CT 06385

Phone

(860) 447-2235

Fax

(860) 444-2992

NPI assigned

Nov 21, 2006

Last updated

Aug 22, 2020By 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

Dr. Bruce H Patterson, DMDNPI 1336355114

Title

V President

Phone

(860) 447-2235

Specialties & licenses 4

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bruce H Patterson, DMD

  • Dentist
  • Waterford, CT
  • NPI 1336355114
  NPD (past) Authorized official
• Kenneth P Nogacek, DMD

  • Dentist
  • Waterford, CT
  • NPI 1225244171
  NPD (past)
• Melissa J Nogacek, DMD

  • Dentist
  • Waterford, CT
  • NPI 1144436098
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336214956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 254",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "06385",
            "telephone_number": "860-447-2235",
            "fax_number": "860-444-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 BOSTON POST ROAD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "06385",
            "telephone_number": "860-447-2235",
            "fax_number": "860-444-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERFORD DENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "V PRESIDENT",
        "authorized_official_telephone_number": "860-447-2235",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "4485",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "7784",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "7946",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "6180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Rite Aid)
• Caitlin Alice Ward, LCSW
• Waterbury Yellow Cab and Service Company, Inc. (Yellow Cab Company)
• Waterford Ambulance Service, Inc
• Waterford Dental Associates PC
• Waterford Eyecare
• Waterford Optometric PC
• Waterford Pediatrics
• Waterford Public Schools
• Waterford Vascular Associates, P.C.

• General Practice Dentistry in Waterford, CT
• Providers in Waterford, 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 22, 2020; 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.