Ident Dental at Greenwich

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

IDENT DENTAL AT GREENWICH

Practice address

75 Holly Hill LN
Greenwich, CT 06830-6098

Phone

(203) 548-0826

NPI assigned

Jul 1, 2021

Last updated

Jul 1, 2021By 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

Adam Sposato

Title

Operations Director

Phone

(646) 208-1456

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1407427347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 CANAL ST # 250",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069026094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HOLLY HILL LN",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306098",
            "telephone_number": "203-548-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDENT DENTAL AT GREENWICH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "SPOSATO",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "646-208-1456"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Eric Hwang, PA-C
• Mark Eugene Hwang
• Hyman Miller M.D. P.C.
• Ian M. Rubins, MD, PC
• Ibis Medical Care PLLC
• Teresa Idrovo
• Zara Nadia Ilahi, MD
• Anthony Ilardo, DDS
• Shelly Ahn Im, MD
• Shideh Imanian-Parsa, M.D.

• General Practice Dentistry in Greenwich, CT
• Providers in Greenwich, 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 Jul 1, 2021; 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.