NPIMap

Organization Active NPI

Hamden Plaza Family Dental, PC

Doing business as Dr. Dental Stratford PC

  • Dental Clinic/Center
  • Stratford, CT
National Provider Identifier
1679297360
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HAMDEN PLAZA FAMILY DENTAL, PC
Doing business as
Dr. Dental Stratford PC
Practice address
200 E Main St
Stratford, CT 06614-5114
Phone
(203) 378-8500
NPI assigned
Sep 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Authorized official

Name
Raymond Joseph Ruddy
Title
Cfo
Phone
(508) 505-7981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

200 E Main St
Stratford, CT 06614-5114

Mailing address

945 Concord St
Framingham, MA 01701-4613
Phone (508) 505-7981

Other names 1

  • Dr. Dental Stratford PC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hamden Plaza Family Dental PC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1679297360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 CONCORD ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017014613",
            "telephone_number": "508-505-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066145114",
            "telephone_number": "203-378-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMDEN PLAZA FAMILY DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "RUDDY",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "508-505-7981"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Dental Stratford PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stratford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.