Organization Active NPI

Farmington Family Dental Group, PLLC

Doing business as Farmington Family Dentistry

  • Dental Clinic/Center
  • Farmington, CT
National Provider Identifier
1336849413
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
FARMINGTON FAMILY DENTAL GROUP, PLLC
Doing business as
Farmington Family Dentistry
Practice address
5 Melrose Dr
Farmington, CT 06032-2251
Phone
(860) 677-1316
NPI assigned
Mar 7, 2023
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Sydney Hofer, DMDNPI 1629575311
Title
Owner Dentist
Phone
(860) 677-1316

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

5 Melrose Dr
Farmington, CT 06032-2251

Mailing address

5 Melrose Dr
Farmington, CT 06032-2251
Phone (860) 677-1316

Other names 1

  • Farmington Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1336849413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MELROSE DR",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322251",
            "telephone_number": "860-677-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MELROSE DR",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322251",
            "telephone_number": "860-677-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGTON FAMILY DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HOFER",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "860-677-1316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmington Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.