Parkway Dental Hamden PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PARKWAY DENTAL HAMDEN PC

Practice address

1869 Dixwell Ave
Hamden, CT 06514-3145

Phone

(860) 861-3531

NPI assigned

Aug 23, 2016

Last updated

Aug 23, 2016By 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. Mamta Vipin Patel, DDS

Title

Owner

Phone

(860) 861-3531

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1942755681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 BROAD ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069012702",
            "telephone_number": "860-861-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1869 DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065143145",
            "telephone_number": "860-861-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY DENTAL HAMDEN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MAMTA",
        "authorized_official_middle_name": "VIPIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-861-3531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Partnerships Center for Adult Day Care

• Dentist in Hamden, CT
• Providers in Hamden, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.