Spectra Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

008123 Issued in CT

Legal business name

SPECTRA DENTAL, LLC

Doing business as

Greenwald Dental Group

Practice address

160 Robbins St
Waterbury, CT 06708-2652

Phone

(203) 757-8855

Fax

(203) 757-0550

NPI assigned

Mar 11, 2008

Last updated

Mar 11, 2008By 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. Christine LathurasNPI 1619031788

Title

Owner

Phone

(203) 757-8855

Specialties & licenses 1

Addresses

Other names 1

• Greenwald Dental Group Doing business as

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.

• Christine F Lathuras, DDS

  • Dentist
  • Kirkwood, MO
  • NPI 1619031788
  NPD (past) Authorized official

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1437329042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ROBBINS ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082652",
            "telephone_number": "203-757-8855",
            "fax_number": "203-757-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 ROBBINS ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082652",
            "telephone_number": "203-757-8855",
            "fax_number": "203-757-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRA DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "LATHURAS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-757-8855",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "008123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenwald Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olga Spaulding
• Adam Michael Spaulding, Pharmd, Mba, BCPS, PHARMD, MBA, BCPS
• Stephen Michael Spear, M.D.
• Specialists in Women's Healthcare PC
• Spectra Dental LLC
• Spectrum Professional Services LLC
• Speech and Language LLC
• James Dunbar Speer, M.DIV
• Kathryn Spiess, CNM
• Spine & Sports Center of Connecticut

• General Practice Dentistry in Waterbury, CT
• Providers in Waterbury, 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 11, 2008; 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.