Dental Services of South Windsor, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6350 Issued in CT

Legal business name

DENTAL SERVICES OF SOUTH WINDSOR, LLC

Practice address

479 Buckland Road
South Windsor, CT 06074-3515

Phone

(860) 648-4471

Fax

(860) 648-0181

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Bruce Haroian, DMD

Title

Owner/Member Dentist

Phone

(860) 289-4955

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1750302980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 BUCKLAND RD",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060743739",
            "telephone_number": "860-648-4471",
            "fax_number": "860-648-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 BUCKLAND ROAD",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060743515",
            "telephone_number": "860-648-4471",
            "fax_number": "860-648-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SERVICES OF SOUTH WINDSOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "HAROIAN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER/MEMBER DENTIST",
        "authorized_official_telephone_number": "860-289-4955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "6350",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "9300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dajha Scott LLC
• Daniel M Segal
• Daniel P Fley LMFT LLC
• Debi Shearer, LMFT, LLC
• Evelyne Irimies Deloughery, APRN
• Dental Team of South Windsor
• Michele M Dery
• Amy Destro, LCSW
• Anna C Devitt, MSN, FNP-BC, APNP
• Rebecca Dewald

• General Practice Dentistry in South Windsor, CT
• Providers in South 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 Aug 18, 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.