Active NPI
Lillian C Lwanga, DMD
- General Practice Dentistry
- Hartford, CT
National Provider Identifier
1790343861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13380
- Practice address
- 1888 Main St
Hartford, CT 06120-2357 - Phone
- (860) 970-0928
- NPI assigned
- Jun 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN1858346 | MA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 13380 | CT | Primary |
Addresses
Primary practice location
1888 Main St
Hartford, CT 06120-2357
Mailing address
167 High St
N Billerica, MA 01862-1703
Phone (781) 572-0382
Other practice location 1
700 Essex St Unit 1A1
Lawrence, MA 01841-4396
Phone (978) 683-2200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1858346 | MA | MD | General Practice Dentistry |
| 13380 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Dreams, LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Lawrence, MA
- NPI 1407010531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1790343861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "167 HIGH ST",
"city": "N BILLERICA",
"state": "MA",
"postal_code": "018621703",
"telephone_number": "781-572-0382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1888 MAIN ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061202357",
"telephone_number": "860-970-0928"
}
],
"practiceLocations": [
{
"address_1": "700 Essex St Unit 1A1",
"address_purpose": "LOCATION",
"city": "Lawrence",
"state": "MA",
"postal_code": "018414396",
"country_code": "US",
"telephone_number": "978-683-2200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LWANGA",
"first_name": "LILLIAN",
"middle_name": "C",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-03",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DN1858346",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "13380",
"primary": true
}
],
"identifiers": [],
"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 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.