Essential Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ESSENTIAL DENTAL, LLC

Practice address

1090 Meriden Waterbury Tpke
Suite 2
Plantsville, CT 06479

Phone

(860) 426-0997

Fax

(860) 426-0669

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. J Barden Fuller, DDSNPI 1205972163

Title

Owner

Phone

(860) 426-0997

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• J. Barden Fuller, DDS

  • General Practice Dentistry
  • Plantsville, CT
  • NPI 1205972163
  NPD (past) Authorized official

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871709725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 MERIDEN WATERBURY TPKE",
            "address_2": "SUITE 2",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "06479",
            "telephone_number": "860-426-0997",
            "fax_number": "860-426-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 MERIDEN WATERBURY TPKE",
            "address_2": "SUITE 2",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "06479",
            "telephone_number": "860-426-0997",
            "fax_number": "860-426-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "BARDEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-426-0997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucy Mei Doorack, LMT
• Melanie Ann Edman, LMFT
• Elm State Care
• Enchanted Therapies, LLC
• Monica Erwin
• Micaiah Fallon, LCSW
• Ashley Favreau, LPC
• Feel Well Health Center of Southington, P.C.
• Feel Well Health Center of Southington, PC
• Keina Marie Fields-Small, CCC-SLP

• General Practice Dentistry in Plantsville, CT
• Providers in Plantsville, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.