Stuart M. Shoflick, DMD, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

STUART M. SHOFLICK, DMD, PLLC

Practice address

155 S Main St
West Hartford, CT 06107-3450

Phone

(860) 236-5455

Fax

(888) 247-6762

NPI assigned

Mar 13, 2018

Organization subpart

No

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

Authorized official

Name

Stuart Mark Shoflick, DMD

Title

Managing Member

Phone

(860) 508-3467

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1871096123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 S MAIN ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061073450",
            "telephone_number": "860-236-5455",
            "fax_number": "888-247-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 S MAIN ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061073450",
            "telephone_number": "860-236-5455",
            "fax_number": "888-247-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART M. SHOFLICK, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "SHOFLICK",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "860-508-3467",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Mar 14, 2018; 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.