Windsor Implant & Cosmetic Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WINDSOR IMPLANT & COSMETIC DENTISTRY

Doing business as

Windsor Implant & Cosmetic Dentistry

Practice address

408 Windsor Ave
Windsor, CT 06095-4467

Phone

(860) 904-5015

NPI assigned

Jul 23, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Sophia Beason-Brown, DDSNPI 1689798068

Title

General Dentistry

Phone

(860) 904-5015

Specialties & licenses 1

Addresses

Other names 1

• Windsor Implant & Cosmetic Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sophia Diana Beason-Brown, D.D.S.

  • General Practice Dentistry
  • Weatogue, CT
  • NPI 1689798068
  NPD Authorized official

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1730917576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 WINDSOR AVE",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060954467",
            "telephone_number": "860-904-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 WINDSOR AVE",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060954467",
            "telephone_number": "860-904-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR IMPLANT & COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "BEASON-BROWN",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_title_or_position": "GENERAL DENTISTRY",
        "authorized_official_telephone_number": "860-904-5015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsor Implant & Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Wilson, LPC
• Rosanna Z Wilson, LPC
• Samantha Wilson
• Windsor Family Dentists
• Windsor Health and Rehabilitation Center, LLC
• Windsor Medical Associates LLC
• Windsor Physical Therapy
• Windsor Psychiatric Services, PLLC
• Windsor Public School
• Windsor Speech Therapy LLC

• General Practice Dentistry in Windsor, CT
• Providers in Windsor, 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 Jul 23, 2024; 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.