Dental Team of Hartford LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL TEAM OF HARTFORD LLC

Practice address

550 Farmington Ave Ste B
Hartford, CT 06105-3041

Phone

(617) 308-5361

NPI assigned

Dec 13, 2023

Last updated

Dec 13, 2023By 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

Diane Aiguier

Title

Manager

Phone

(617) 308-5361

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1447028154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 FARMINGTON AVE STE B",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061053041",
            "telephone_number": "617-308-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 FARMINGTON AVE STE B",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061053041",
            "telephone_number": "617-308-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL TEAM OF HARTFORD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "AIGUIER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-308-5361"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Dennen, MD
• Cassidy A Dennin, PA-C
• Dental Dreams, LLC
• Dental Group of Hartford PC
• Dental Smiles of Hartford, PLLC
• Kara Denz Fluck, PA-C
• Maneet Deol
• Dylan Depersia, PA
• Kathleen M Dering, LCSW
• Marlo L Derla, APRN

• General Practice Dentistry in Hartford, CT
• Providers in Hartford, 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 Dec 13, 2023; 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.