Organization Active NPI

Putnam Family Dental PC

  • General Practice Dentistry
  • Putnam, CT
National Provider Identifier
1376754564
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
009574 Issued in CT
Legal business name
PUTNAM FAMILY DENTAL PC
Practice address
233 Pomfret St
Putnam, CT 06260-1835
Phone
(860) 928-5334
Fax
(860) 928-9613
NPI assigned
May 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Yaser John Wehbe, DMD
Title
President
Phone
(860) 928-5334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 009574 CT Primary

Addresses

Primary practice location

233 Pomfret St
Putnam, CT 06260-1835

Mailing address

233 Pomfret St
Putnam, CT 06260-1835
Phone (860) 928-5334

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376754564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 POMFRET ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601835",
            "telephone_number": "860-928-5334",
            "fax_number": "860-928-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 POMFRET ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601835",
            "telephone_number": "860-928-5334",
            "fax_number": "860-928-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEHBE",
        "authorized_official_first_name": "YASER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-928-5334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "009574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Putnam, CT

Sources for this page

  • 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.