Advanced Dental Office

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ADVANCED DENTAL OFFICE

Practice address

1250 Summer St
Suite 302
Stamford, CT 06905-5358

Phone

(203) 357-1111

NPI assigned

Dec 9, 2008

Last updated

Dec 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Simon Betser

Title

Manager

Phone

(203) 357-1111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1881839660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 SUMMER ST",
            "address_2": "SUITE 302",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 SUMMER ST",
            "address_2": "SUITE 302",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055358",
            "telephone_number": "203-357-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "BETSER",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "203-357-1111"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oluwaseyi Adeyinka, MD, MPH
• Adult Mind and Body Wellness, LLC
• Adult Mind Body Wellness, LLC
• Michael Kofi Adusei, M.D.
• Advanced Chiropractic & Wellness LLC
• Advanced Endodontics&Microsurgeryofstamford PC
• Advanced Health Sports & Occupation
• Advanced Medical and Cosmetic Dermatology, Inc
• Advanced Minimally Invasive Surgery, LLC
• Advanced Physical Therapy Center of Stamford, LLC

• General Practice Dentistry in Stamford, CT
• Providers in Stamford, 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 Dec 9, 2008; 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.