Active NPI
Small Smiles Dental Center of Hartford West, PC
- General Practice Dentistry
- Hartford, CT
National Provider Identifier
1720386972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- SMALL SMILES DENTAL CENTER OF HARTFORD WEST, PC
- Practice address
- 550 Farmington Ave
Hartford, CT 06105-3049 - Phone
- (860) 236-0110
- Fax
- (860) 236-0112
- NPI assigned
- Mar 10, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jenell Stringer
- Title
- Specialist
- Phone
- (615) 750-0343
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | |||
| General Practice Dentistry | 1223G0001X | Primary | ||
| Pediatric Dentistry | 1223P0221X | |||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X |
Addresses
Primary practice location
550 Farmington Ave
Hartford, CT 06105-3049
Mailing address
16 Arcade Unit 198747
Nashville, TN 37219-1994
Phone (615) 750-0343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008031014 | Medicaid | CT |
National Provider Directory
National Provider DirectoryLocations
550 Farmington Ave
Hartford, CT 06105
Phone (860) 236-0110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1372204800000",
"number": "1720386972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 ARCADE UNIT 198747",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372191994",
"telephone_number": "615-750-0343",
"fax_number": "615-986-1705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 FARMINGTON AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061053049",
"telephone_number": "860-236-0110",
"fax_number": "860-236-0112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMALL SMILES DENTAL CENTER OF HARTFORD WEST, PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-10",
"last_updated": "2013-06-26",
"status": "A",
"authorized_official_last_name": "STRINGER",
"authorized_official_first_name": "JENELL",
"authorized_official_title_or_position": "SPECIALIST",
"authorized_official_telephone_number": "615-750-0343"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008031014",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.