NPIMap

Organization Active NPI

Stony Hill Dental Care PLLC

Doing business as Stony Hill Dental Care

  • Dentist
  • Bethel, CT
National Provider Identifier
1851853618
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
STONY HILL DENTAL CARE PLLC
Doing business as
Stony Hill Dental Care
Practice address
76 Stony Hill Rd
Bethel, CT 06801-3055
Phone
(203) 744-0033
Fax
(203) 744-2118
NPI assigned
Apr 2, 2019
Last updated
Apr 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Authorized official

Name
Walter Kostrzewski, DMD
Title
Dentist/Owner
Phone
(203) 744-0033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

76 Stony Hill Rd
Bethel, CT 06801-3055

Mailing address

76 Stony Hill Rd
Bethel, CT 06801-3055
Phone (203) 744-0033

Other names 1

  • Stony Hill Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

76 Stony Hill Rd
Bethel, CT 06801
Phone (203) 744-0033

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1851853618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 STONY HILL RD",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068013055",
            "telephone_number": "203-744-0033",
            "fax_number": "203-744-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 STONY HILL RD",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068013055",
            "telephone_number": "203-744-0033",
            "fax_number": "203-744-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONY HILL DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "KOSTRZEWSKI",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "203-744-0033",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stony Hill Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethel, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.