Toddlesr to Teens Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

7093 Issued in CT

Legal business name

TODDLESR TO TEENS PEDIATRIC DENTISTRY

Practice address

1340 Boulevard
West Hartford, CT 06119-1901

Phone

(860) 521-2500

Fax

(860) 521-2501

NPI assigned

Jan 9, 2012

Last updated

Jan 17, 2012By 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

Oscar Gonzalez, D.D.S.NPI 1992863435

Title

Owner/ Director

Phone

(860) 521-2500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Oscar E Gonzalez, DDS

  • General Practice Dentistry
  • West Hartford, CT
  • NPI 1992863435
  NPD (past) Authorized official
• Susan Depatie, DMD

  • General Practice Dentistry
  • West Hartford, CT
  • NPI 1235256082
  NPD (past)

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1508136425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 BOULEVARD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191901",
            "telephone_number": "860-521-2500",
            "fax_number": "860-521-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 BOULEVARD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191901",
            "telephone_number": "860-521-2500",
            "fax_number": "860-521-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODDLESR TO TEENS PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "OWNER/ DIRECTOR",
        "authorized_official_telephone_number": "860-521-2500",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "7093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002070936",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Laura Toce, PSY.D.
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• Pediatric Dentistry in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Pediatric Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.