New Age Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

008510 Issued in CT

Legal business name

NEW AGE DENTAL LLC

Practice address

10 N Main St
Suite 220
West Hartford, CT 06107-1968

Phone

(860) 561-2121

Fax

(860) 561-4327

NPI assigned

Jul 19, 2015

Organization subpart

No

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

Authorized official

Name

Elzbieta W Basil, DMDNPI 1588761175

Title

Owner

Phone

(860) 561-2121

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Elzbieta W Basil, DMD

  • General Practice Dentistry
  • West Hartford, CT
  • NPI 1588761175
  NPD (past) Authorized official
• Gerald Silverman, D.M.D.

  • General Practice Dentistry
  • West Hartford, CT
  • NPI 1346325677
  NPD (past)

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

{
    "created_epoch": "1437264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437264000000",
    "number": "1558745539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N MAIN ST",
            "address_2": "SUITE 220",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071968",
            "telephone_number": "860-561-2121",
            "fax_number": "860-561-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N MAIN ST",
            "address_2": "SUITE 220",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071968",
            "telephone_number": "860-561-2121",
            "fax_number": "860-561-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW AGE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-19",
        "last_updated": "2015-07-19",
        "status": "A",
        "authorized_official_last_name": "BASIL",
        "authorized_official_first_name": "ELZBIETA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-561-2121",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "008510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in West Hartford, CT
• Providers in West 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 Jul 19, 2015; 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.