NPIMap

Organization Active NPI

Reliable Dental Waterbury Inc.

  • General Practice Dentistry
  • Waterbury, CT
National Provider Identifier
1851063754
Registry record updated Sep 30, 2021
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RELIABLE DENTAL WATERBURY INC.
Practice address
835 Wolcott St
Waterbury, CT 06705-1315
Phone
(203) 596-1960
NPI assigned
Sep 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Authorized official

Name
Longqian Wang
Title
President
Phone
(929) 285-8883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

835 Wolcott St
Waterbury, CT 06705-1315

Mailing address

835 Wolcott St
Waterbury, CT 06705-1315

Other names 1

  • Reliable Dental Doing business as

National Provider Directory

National Provider Directory

Locations

835 Wolcott St
Waterbury, CT 06705
Phone (203) 596-1960

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1851063754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 WOLCOTT ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067051315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 WOLCOTT ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067051315",
            "telephone_number": "203-596-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE DENTAL WATERBURY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "LONGQIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-285-8883"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reliable Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.