Esthetic Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

009519 Issued in CT

Legal business name

ESTHETIC FAMILY DENTISTRY

Practice address

454 Prospect St
Torrington, CT 06790-4937

Phone

(860) 482-8750

NPI assigned

Mar 28, 2012

Last updated

Mar 28, 2012By 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. Patrick Pasqual Pollak, DMDNPI 1124165543

Title

Dentist

Phone

(860) 482-8750

Specialties & licenses 1

Addresses

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.

• Patrick Pascal Pollak

  • General Practice Dentistry
  • Enfield, CT
  • NPI 1124165543
  NPD (past) Authorized official
• Douglas S Traub Jr., DMD

  • General Practice Dentistry
  • Torrington, CT
  • NPI 1992701643
  NPD (past)

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1366718041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 PROSPECT ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067904937",
            "telephone_number": "860-482-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 PROSPECT ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067904937",
            "telephone_number": "860-482-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTHETIC FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "POLLAK",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "PASQUAL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "860-482-8750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "009519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Endoscopy Center of Northwest Connecticut
• Energy Health & Wellness LLC (Energy Health & Fitness)
• Jeanette Epps, BA
• Michael A Ernest, DDS MS
• Robert V Erwin, LCSW
• Jean K Evangelisti, APRN
• Stacey R Evans, LO
• Peter Evola, P.A.
• Mareesa Fabiaschi, MSN, APRN, FNP-C
• Brooke Fairbanks, LCSW

• General Practice Dentistry in Torrington, CT
• Providers in Torrington, 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 Mar 28, 2012; 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.