Stratford Dental Care PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0087700 Issued in CT

Legal business name

STRATFORD DENTAL CARE PC

Practice address

373 Nichols Ave
Stratford, CT 06614

Phone

(203) 377-6418

Fax

(203) 377-5477

NPI assigned

Aug 8, 2006

Last updated

Aug 22, 2020By 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

Leonardo Pena-Abosaid, DDSNPI 1962600718

Title

President

Phone

(203) 377-6418

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, and the practitioner matching its NPPES authorized official.

• Leonardo Pena-Abosaid, D.D.S.

  • General Practice Dentistry
  • Stratford, CT
  • NPI 1962600718
  NPD (past) Authorized official
• Eduardo Cortes, D.D.S.

  • Dentist
  • Milford, CT
  • NPI 1790983575
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609886480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 NICHOLS AVE",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "06614",
            "telephone_number": "203-377-6418",
            "fax_number": "203-377-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 NICHOLS AVE",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "06614",
            "telephone_number": "203-377-6418",
            "fax_number": "203-377-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATFORD DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PENA-ABOSAID",
        "authorized_official_first_name": "LEONARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-377-6418",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "0087700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stratford Acupuncture & Wellness Center
• Stratford Apothecary LLC
• Stratford Board of Education (Stratford Public Schools)
• Stratford Chiropractic LLC
• Stratford Community Services
• Stratford Eyecare Associates, L.L.C.
• Stratford Family Dental PC
• Stratford Markets LLC (Shoprite Pharmacy)
• Stratford Orthodontics
• Stratford Orthodontics

• 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 Aug 22, 2020; 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.