NPIMap

Organization Active NPI

Ad Dental PC

Doing business as Putnam Family Dental

  • General Practice Dentistry
  • Putnam, CT
National Provider Identifier
1649678376
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
010151 Issued in CT
Legal business name
AD DENTAL PC
Doing business as
Putnam Family Dental
Practice address
233 Pomfret St
Putnam, CT 06260-1835
Phone
(860) 928-5334
Fax
(860) 928-9613
NPI assigned
Dec 11, 2014
Last updated
Dec 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

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

Authorized official

Name
Alaa Ahmed, DMD
Title
Co Owner
Phone
(860) 928-5334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 010151 CT Primary

Addresses

Primary practice location

233 Pomfret St
Putnam, CT 06260-1835

Mailing address

233 Pomfret St
Putnam, CT 06260-1835
Phone (860) 928-5334

Other names 1

  • Putnam Family Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1649678376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 POMFRET ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601835",
            "telephone_number": "860-928-5334",
            "fax_number": "860-928-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 POMFRET ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601835",
            "telephone_number": "860-928-5334",
            "fax_number": "860-928-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AD DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "ALAA",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "860-928-5334",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Putnam Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Putnam, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.