Central Connecticut Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8312 Issued in CT

Legal business name

CENTRAL CONNECTICUT DENTAL

Practice address

609 Farmington Ave # LL2
Hartford, CT 06105-3081

Phone

(860) 570-0075

NPI assigned

May 24, 2007

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

Dr. Nasser Kameli, DMD

Title

Dentist

Phone

(860) 570-0075

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649481482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 FARMINGTON AVE # LL2",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061053081",
            "telephone_number": "860-570-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 FARMINGTON AVE # LL2",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061053081",
            "telephone_number": "860-570-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CONNECTICUT DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAMELI",
        "authorized_official_first_name": "NASSER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "860-570-0075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "8312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Hartford, CT
• Providers in Hartford, 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.