Gorgeous Smiles Dental Hartford

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GORGEOUS SMILES DENTAL HARTFORD

Practice address

550 Farmington Ave Ste B
Hartford, CT 06105-3041

Phone

(860) 956-5555

NPI assigned

Feb 26, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Raymond Belisle

Title

Chief Operating Officer

Phone

(860) 978-3294

Specialties & licenses 1

Addresses

Other names 1

• Dental Smiles of Hartford Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohammad Abbas Khan, DMD

  • Dentist
  • South Windsor, CT
  • NPI 1366952897

  General Practice

  NPD

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1548026685",
    "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": "860-956-5555"
        },
        {
            "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": "860-956-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORGEOUS SMILES DENTAL HARTFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "BELISLE",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "860-978-3294",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Smiles of Hartford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Annemary Gordon
• Ashley Anne Gordon
• Caroline D Gordon, APRN
• Robert William Gordon, M.D.
• Sandra Shepherd Gordon, PA
• Ann Gorjanc, PA
• Ava Dalani Gorneault
• Vanessa Gorospe, MD
• Kelly Alison Gorski, CRNA/APRN
• Madhavi Gorusu, M.D.

• All providers in Hartford, CT
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.