Stratford Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

8376 Issued in CT

Legal business name

STRATFORD ORTHODONTICS

Practice address

2499 Main Street
Stratford, CT 06615

Phone

(860) 442-4421

Fax

(866) 837-6409

NPI assigned

Aug 20, 2013

Last updated

Aug 20, 2013By 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

Jeffrey Todd Kozlowski, DDSNPI 1659456382

Title

President

Phone

(860) 442-4421

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Todd Kozlowski, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • New London, CT
  • NPI 1659456382
  Authorized official Same address or phone

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1700219243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2499 MAIN STREET",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "06615",
            "telephone_number": "860-442-4421",
            "fax_number": "866-837-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 MAIN STREET",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "06615",
            "telephone_number": "860-442-4421",
            "fax_number": "866-837-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATFORD ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "KOZLOWSKI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-442-4421",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "8376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stratford Dental Care PC
• Stratford Eyecare Associates, L.L.C.
• Stratford Family Dental PC
• Stratford Markets LLC (Shoprite Pharmacy)
• Stratford Orthodontics
• Stratford Pediatric Associates, P.C.
• Stratford Pediatrics, Inc.
• Stratford Smiles, PLLC
• Stratford Visiting Nurse Association, Inc.
• Frederick Streets

• Orthodontics and Dentofacial Orthopedics Dentistry in Stratford, CT
• Providers in Stratford, CT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.