Albany Avenue Dental Group, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

010641 Issued in CT

Legal business name

ALBANY AVENUE DENTAL GROUP, LLC

Practice address

1000 Albany Ave
Hartford, CT 06112-2312

Phone

(860) 493-0653

Fax

(860) 493-0654

NPI assigned

Jan 20, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Carlos A Henriquez, DDS

Title

Member

Phone

(860) 493-0653

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1821369968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ALBANY AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061122312",
            "telephone_number": "860-493-0653",
            "fax_number": "860-493-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ALBANY AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061122312",
            "telephone_number": "860-493-0653",
            "fax_number": "860-493-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY AVENUE DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "HENRIQUEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-493-0653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "010641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdulla Rafea a. Alabed, M.D
• Syed Areej Alam, M.D.
• Nashaly Alamo, MSW
• Blanca Alban
• Lauren Albano, APRN
• Lee A Albert, LCSW, LADC
• Lexus Albert
• Ross H Albert, MD
• Christopher Albini, LPC
• Jessica Ryan Albrycht

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.