The Hartford Dental Group, SC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

782 Issued in WI

Legal business name

THE HARTFORD DENTAL GROUP, SC

Practice address

1009 E Sumner St
Hartford, WI 53027-1607

Phone

(262) 673-3303

Fax

(262) 673-9115

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Barbara Ann Kohler

Title

Executive Administrator

Phone

(262) 673-3303

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1730232265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 E SUMNER ST",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530271607",
            "telephone_number": "262-673-3303",
            "fax_number": "262-673-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 E SUMNER ST",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530271607",
            "telephone_number": "262-673-3303",
            "fax_number": "262-673-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HARTFORD DENTAL GROUP, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "KOHLER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "262-673-3303",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Hartford, WI
• Providers in Hartford, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.