Organization Active NPI

Alpha Dental Group, P.C.

  • Dentist
  • Wallingford, CT
National Provider Identifier
1336364512
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
CT008759 Issued in CT
Legal business name
ALPHA DENTAL GROUP, P.C.
Practice address
341 N Colony St
Wallingford, CT 06492-3170
Phone
(203) 265-0788
NPI assigned
Apr 14, 2007
Last updated
Oct 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Authorized official

Name
Dr. Yunning Alice Yang, D.M.D
Title
President
Phone
(203) 265-0788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X CT008759 CT Primary

Addresses

Primary practice location

341 N Colony St
Wallingford, CT 06492-3170

Mailing address

341 N Colony St
Wallingford, CT 06492-3170
Phone (203) 265-0788

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1336364512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 N COLONY ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923170",
            "telephone_number": "203-265-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 N COLONY ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923170",
            "telephone_number": "203-265-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA DENTAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-14",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "YUNNING",
        "authorized_official_middle_name": "ALICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-265-0788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "CT008759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.