Meridental LLC

Primary specialty

DentistTaxonomy code 122300000X

License

6681 Issued in CT

Legal business name

MERIDENTAL LLC

Practice address

28 Gravel St
Meriden, CT 06450-4608

Phone

(203) 238-3152

NPI assigned

Mar 21, 2007

Last updated

Aug 22, 2020By 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

Howard Donald Horn, DDS

Title

Member

Phone

(203) 238-3152

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467577999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 GRAVEL ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064504608",
            "telephone_number": "203-238-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 GRAVEL ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064504608",
            "telephone_number": "203-238-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-238-3152",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "6681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Meriden, CT
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• 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.