Four Corners Dental Studio

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

FOUR CORNERS DENTAL STUDIO

Practice address

802 Federal Rd Ste 2
Brookfield, CT 06804-4008

Phone

(203) 546-7351

NPI assigned

Aug 10, 2022

Organization subpart

No

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

Authorized official

Name

Adi Kedem, DMDNPI 1780017350

Title

Owner

Phone

(203) 546-7351

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adi Kedem, DMD

  • Dentist
  • New York, NY
  • NPI 1780017350
  NPD Authorized official
• Ivette Lora, DMD

  • General Practice Dentistry
  • Brookfield, CT
  • NPI 1831758754
  NPD

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1871221606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 FEDERAL RD STE 2",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068044008",
            "telephone_number": "203-546-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 FEDERAL RD STE 2",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068044008",
            "telephone_number": "203-546-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR CORNERS DENTAL STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "KEDEM",
        "authorized_official_first_name": "ADI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-546-7351",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Brian Fisher, D.D.S.
• Suzanne Fitch, RPH
• Paul Fitzgerald, D.D.S.
• Jesse Fleming
• Focused Solutions Counseling LLC
• Paul Fox, M.D.
• Jolanta Fragoso, M.D.
• Claire Anne Free, MD
• Cheryl Ann Fusco, APRN, BC
• Gadoci Chiropractic Health Center, P.C.

• Dental Clinic/Center in Brookfield, CT
• Providers in Brookfield, CT by specialty
• Dental Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.