Organization Active NPI

Gladstein Dental Center LLC

  • General Practice Dentistry
  • New Britain, CT
National Provider Identifier
1588728851
Registry record updated Sep 8, 2014
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6349 Issued in CT
Legal business name
GLADSTEIN DENTAL CENTER LLC
Practice address
70 Vine St
New Britain, CT 06052-1431
Phone
(860) 223-1162
Fax
(860) 224-9215
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Authorized official

Name
Miss Eric L. Gladstein, D.M.D.
Title
Manager
Phone
(860) 223-1162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6349 CT Primary

Addresses

Primary practice location

70 Vine St
New Britain, CT 06052-1431

Mailing address

70 Vine St
New Britain, CT 06052-1431
Phone (860) 223-1162

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1588728851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 VINE ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521431",
            "telephone_number": "860-223-1162",
            "fax_number": "860-224-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 VINE ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521431",
            "telephone_number": "860-223-1162",
            "fax_number": "860-224-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADSTEIN DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "GLADSTEIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-223-1162",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "6349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.