Hartford Dental Care , LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010041 Issued in CT

Legal business name

HARTFORD DENTAL CARE , LLC

Practice address

18 Madison St
Hartford, CT 06106-2324

Phone

(860) 635-6888

NPI assigned

Jan 3, 2012

Last updated

Jan 3, 2012By 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

David Wu, DDS

Title

Member

Phone

(860) 635-6888

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1922378256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SHUNPIKE RD",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162442",
            "telephone_number": "860-635-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MADISON ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062324",
            "telephone_number": "860-635-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTFORD DENTAL CARE , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-635-6888",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hartford Communities That Care
• Hartford Community Mental Health Center
• Hartford Community Mental Health Center Inc (Hartford Behavioral Health)
• Hartford Community Mental Health Center Inc. (Hartford Behaviora Health)
• Hartford Cosmetic Dental Center
• Hartford Dispensary
• Hartford Dispensary
• Hartford Dispensary
• Hartford Dispensary
• Hartford Dispensary

• General Practice Dentistry in Hartford, CT
• Providers in Hartford, 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 Jan 3, 2012; 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.