Spectra Dental LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

008123 Issued in CT

Legal business name

SPECTRA DENTAL LLC

Practice address

160 Robbins St
Waterbury, CT 06708-2652

Phone

(203) 757-8855

NPI assigned

May 9, 2017

Last updated

May 9, 2017By 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

Christine Lathuras

Title

Owner

Phone

(203) 757-8855

Specialties & licenses 1

Addresses

Locations

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.

• Ujwal Vinubhai Patel

  • Dentist
  • Fort Wayne, IN
  • NPI 1144064213

  Single Specialty

  NPD

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

{
    "created_epoch": "1494288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1437685674",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRA DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-09",
        "last_updated": "2017-05-09",
        "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"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "008123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry Spaulding, M.D.
• 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 (Greenwald Dental Group)
• Spectrum Professional Services LLC
• Speech and Language LLC
• James Dunbar Speer, M.DIV
• Kathryn Spiess, CNM

• Oral and Maxillofacial Surgery (Dentist) in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Oral and Maxillofacial Surgery (Dentist) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.