Area Dental Hartford, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AREA DENTAL HARTFORD, LLC

Doing business as

Area Dental Associates, LLC

Practice address

73 Liberty Ave
Hartford, WI 53027-8739

Phone

(262) 673-2960

NPI assigned

Jun 7, 2024

Last updated

Jun 7, 2024By 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

Dr. Jarrod Thomas, DDS

Title

President

Phone

(920) 285-9191

Specialties & licenses 1

Addresses

Other names 1

• Area Dental Associates, LLC Doing business as

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1922840438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 BOUGHTON ST BLDG B",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530943104",
            "telephone_number": "920-285-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 LIBERTY AVE",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530278739",
            "telephone_number": "262-673-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AREA DENTAL HARTFORD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JARROD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-285-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Area Dental Associates, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Hartford, WI
• Providers in Hartford, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.