Dental One LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

009413 Issued in CT

Legal business name

DENTAL ONE LLC

Practice address

71 East Ave Ste a
Norwalk, CT 06851-4903

Phone

(203) 850-2007

Fax

(203) 286-1230

NPI assigned

Mar 28, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Sheikh M Ilyas, DDS

Title

Owner

Phone

(203) 850-2007

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1679078026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5238",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068045238",
            "telephone_number": "203-850-2007",
            "fax_number": "203-286-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 EAST AVE STE A",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514903",
            "telephone_number": "203-850-2007",
            "fax_number": "203-286-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ONE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "ILYAS",
        "authorized_official_first_name": "SHEIKH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-850-2007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "009413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Norwalk, CT
• Providers in Norwalk, 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 Mar 28, 2018; 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.