Active NPI
Arfassa Gullo
- Dentist
- West Hartford, CT
National Provider Identifier
1639672231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12659
- Practice address
- 836 Farmington Ave Ste 131
West Hartford, CT 06119-1585 - Phone
- (860) 236-8000
- NPI assigned
- Mar 10, 2018
- Last updated
- Jul 26, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12659 | CT | Primary |
Addresses
Primary practice location
836 Farmington Ave Ste 131
West Hartford, CT 06119-1585
Mailing address
1 Gold St Ste Q
Hartford, CT 06103-2914
Other practice location 1
1 Gold St Ste Q
Hartford, CT 06103-2914
Phone (860) 728-5264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Smile Studio at Bushnell Park | Current | Accepting new patients |
Locations
1 Gold St
Ste Q
Hartford, CT 06103
Phone (860) 728-5262
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Hartford, CT
- NPI 1295374296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690329600000",
"number": "1639672231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GOLD ST STE Q",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061032914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 FARMINGTON AVE STE 131",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061191585",
"telephone_number": "860-236-8000"
}
],
"practiceLocations": [
{
"address_1": "1 Gold St Ste Q",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061032914",
"country_code": "US",
"telephone_number": "860-728-5264",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GULLO",
"first_name": "ARFASSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-10",
"last_updated": "2023-07-26",
"certification_date": "2023-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "12659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.