Hartford Family Dental Care, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HARTFORD FAMILY DENTAL CARE, LLC

Practice address

73 Liberty Ave
Hartford, WI 53027-8739

Phone

(262) 673-2960

NPI assigned

Jul 28, 2019

Last updated

Jul 28, 2019By 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

Lynne Charmoli, RDH, BS

Title

Operations Manager

Phone

(262) 673-2960

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1564272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564272000000",
    "number": "1710531702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 LIBERTY AVE",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530278739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 LIBERTY AVE",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530278739",
            "telephone_number": "262-673-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTFORD FAMILY DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-28",
        "last_updated": "2019-07-28",
        "status": "A",
        "authorized_official_last_name": "CHARMOLI",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "262-673-2960",
        "authorized_official_credential": "RDH, BS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Guetzke, PT
• Karen Jane Gulling, C.O.T.A.
• Kimberly Marie Hand, APNP
• Daniel William Harrington, RN
• Carrie Lynn Harris, CRNA
• Hartford Union High School
• Haven Chiropractic LLC
• Alyssa Hawkins
• Julie Ann Hawkins, R.N.
• Hearing Center, Inc.

• Dental Clinic/Center in Hartford, WI
• Providers in Hartford, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2019; 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.