Hawley Lane Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9459 Issued in CT

Legal business name

HAWLEY LANE DENTAL LLC

Practice address

475 Hawley Lane
Unit 9
Stratford, CT 06614

Phone

(203) 377-9300

Fax

(203) 377-9301

NPI assigned

May 9, 2008

Last updated

May 9, 2008By 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

Dr. Kristy L Gretzula, DDSNPI 1093935736

Title

Member

Phone

(203) 377-9300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Kristy Gretzula, DDS

  • Dentist
  • Stratford, CT
  • NPI 1093935736
  NPD (past) Authorized official

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1578730578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 HAWLEY LANE",
            "address_2": "UNIT 9",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "06614",
            "telephone_number": "203-377-9300",
            "fax_number": "203-377-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 HAWLEY LANE",
            "address_2": "UNIT 9",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "06614",
            "telephone_number": "203-377-9300",
            "fax_number": "203-377-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWLEY LANE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "GRETZULA",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-377-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "9459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Harris, LCSW
• Rachel Nicole Harris, PA-C
• Lashawnta S Hasty, LMT
• Gus Hatzis
• Christopher Daniel Hausser, PHARMD
• Amirah D He, DC
• Barbara W. Heafy, PT
• John Healey, PHARMD
• Health Care Advocates International, Inc. (Gary Blick MD)
• Health Care Advocates International, LLC (HCAI Pharmacy)

• General Practice Dentistry in Stratford, CT
• Providers in Stratford, 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 May 9, 2008; 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.