Glastonbury Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GLASTONBURY FAMILY DENTAL

Practice address

2450 Main St
Glastonbury, CT 06033-2041

Phone

(860) 633-6246

Fax

(860) 633-1808

NPI assigned

Aug 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Nimesh L. Patel IV, DMDNPI 1164539342

Title

Owner

Phone

(860) 633-6246

Specialties & licenses 1

Addresses

Locations

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.

• Nimesh L. Patel, DMD

  • General Practice Dentistry
  • Glastonbury, CT
  • NPI 1164539342
  NPD (past) Authorized official
• Jeffrey A Cohan, DMD

  • General Practice Dentistry
  • Glastonbury, CT
  • NPI 1568516912
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356458483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 MAIN ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332041",
            "telephone_number": "860-633-6246",
            "fax_number": "860-633-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 MAIN ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332041",
            "telephone_number": "860-633-6246",
            "fax_number": "860-633-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLASTONBURY FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIMESH",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-633-6246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glastonbury Dental Associates LLP
• Glastonbury Dental Care
• Glastonbury Dental Group LLC
• Glastonbury Endoscopy Center, LLC
• Glastonbury Eye Care, LLC
• Glastonbury Family Dental PC
• Glastonbury Family Medicine LLC
• Glastonbury Health Care Center Inc
• Glastonbury Health Care Center, Inc.
• Glastonbury Naturopathic Center LLC

• General Practice Dentistry in Glastonbury, CT
• Providers in Glastonbury, 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.