Wellness Dental Care LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WELLNESS DENTAL CARE LLC

Practice address

465 Silas Deane Hwy
Wethersfield, CT 06109-2134

Phone

(551) 689-5859

NPI assigned

Jun 22, 2022

Last updated

Jun 22, 2022By 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. Forum Dipak Jobanputra, DDSNPI 1073953816

Title

Dentist

Phone

(551) 689-5859

Specialties & licenses 1

Addresses

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.

• Forum D Jobanputra, DDS

  • Dentist
  • West Hartford, CT
  • NPI 1073953816
  NPD Authorized official

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1598496218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29D ROBBINS LN FL 2",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671405",
            "telephone_number": "551-689-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061092134",
            "telephone_number": "551-689-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "JOBANPUTRA",
        "authorized_official_first_name": "FORUM",
        "authorized_official_middle_name": "DIPAK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "551-689-5859",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Eastern Co Inc (Walgreens #04490)
• Scott John Walker, M.D.
• Amanda Wanat, LCSW
• Victor Liu Wang, MD
• Anne Hubbard Webb, MSW LCSW
• Donald H Weston, DMD
• Wethersfield Family Dental Center LLC
• Wethersfield Public Schools
• Wethersfield Volunteer Ambulance Association Inc
• Christina Marie Whitaker

• General Practice Dentistry in Wethersfield, CT
• Providers in Wethersfield, 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 Jun 22, 2022; 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.