Hartford Dental Incorporated

Primary specialty

DentistTaxonomy code 122300000X

License

008810 Issued in CT

Legal business name

HARTFORD DENTAL INCORPORATED

Practice address

740 N Main St
West Hartford, CT 06117-2480

Phone

(860) 233-4400

Fax

(860) 233-4408

NPI assigned

Nov 16, 2010

Organization subpart

No

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

Authorized official

Name

Dr. George Haas, DMD

Title

President

Phone

(860) 233-4400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1801197298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 N MAIN ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172480",
            "telephone_number": "860-233-4400",
            "fax_number": "860-233-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 N MAIN ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172480",
            "telephone_number": "860-233-4400",
            "fax_number": "860-233-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTFORD DENTAL INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "HAAS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-233-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "008810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Harris, LCSW
• Anderson Geer Hart, DC, ATC
• Suzanne Ellen Hart, SLP
• Hartford Cardiology Group, LLC
• Hartford Clinical Associates, PC (Hartford Specialists)
• Hartford Dermatology Associates PC
• Hartford Family Institute, LLP
• Hartford Family Medicine Center, LLC
• Hartford Healthcare Medical Group Specialists LLC
• Hartford Healthcare Medical Group, Inc

• Dentist in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.