Family Dentistry of Hartford, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5569 Issued in CT

Legal business name

FAMILY DENTISTRY OF HARTFORD, LLC

Practice address

18 Madison St
Hartford, CT 06106-2324

Phone

(860) 206-4960

NPI assigned

Sep 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Bass, DMD

Title

Sole Owner

Phone

(203) 733-0574

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1679822571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MADISON ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062324",
            "telephone_number": "860-206-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MADISON ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062324",
            "telephone_number": "860-206-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTISTRY OF HARTFORD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "203-733-0574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "5569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sapphire R Fairchild
• Whitney Fairchild, MSN, APRN, FNP-BC
• Priyansh Faldu
• Madeline Gail Fall, LMSW
• Family Dentistry of Hartford PLLC
• Family Matters LLC
• Family Therapy Services LLC
• Family Therapy Works LLC
• Familycareofhartford Corp
• Amanda Fantry, M.D.

• 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 Sep 6, 2012; 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.