Wolcott Street Dental-2, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WOLCOTT STREET DENTAL-2, PC

Doing business as

Sutton Dental

Practice address

1888 Main St
Hartford, CT 06120-2357

Phone

(800) 920-9947

NPI assigned

Mar 29, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michelle Jacomino

Title

Director of Payor Relations

Phone

(770) 916-5036

Specialties & licenses 6

Addresses

Other names 1

• Sutton Dental Doing business as

Tax ID family

Sutton Dental3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Wolcott Street Dental-2, PC

  • Dentist
  • Waterbury, CT
  • NPI 1134359623
  NPD tax ID
• Wolcott Street Dental-2, PC

  • Dentist
  • Bridgeport, CT
  • NPI 1538392170
  NPD tax ID

Locations

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1477878973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 INTERSTATE NORTH PKWY SE STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392233",
            "telephone_number": "770-916-5028",
            "fax_number": "678-247-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1888 MAIN ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061202357",
            "telephone_number": "800-920-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLCOTT STREET DENTAL-2, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-29",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "JACOMINO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR OF PAYOR RELATIONS",
        "authorized_official_telephone_number": "770-916-5036"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sutton Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Toitanisha J. Witherspoon, DC
• Michelle A Witter, DMD
• Caitlin Ann Wojciehoski, M.D.
• Robyn Katherine Wojeck, APRN
• Richard Wojtowicz, PHARMD
• C Steven Wolf, MD
• Mark Wolf, MD
• Heather Wolfe-Taylor, APRN
• Hannah Dean Wolfe, ACNPC-AG
• Brittany Wolff, PH.D.

• Dentist in Hartford, CT
• Providers in Hartford, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.