NPIMap

Organization Active NPI

Az Dental PLLC

  • Dental Clinic/Center
  • Putnam, CT
National Provider Identifier
1962217869
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
AZ DENTAL PLLC
Practice address
153 Grove St
Putnam, CT 06260-2115
Phone
(860) 928-3723
NPI assigned
Feb 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Yazan Abou ZakhemNPI 1841807104
Title
Dentist
Phone
(201) 640-1046

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

153 Grove St
Putnam, CT 06260-2115

Mailing address

153 Grove St
Putnam, CT 06260-2115
Phone (860) 928-3723

Other names 1

  • Quiet Corner Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Az Dental PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

153 Grove St
Putnam, CT 06260
Phone (860) 928-3723

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1962217869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 GROVE ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062602115",
            "telephone_number": "860-928-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 GROVE ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062602115",
            "telephone_number": "860-928-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "ABOU ZAKHEM",
        "authorized_official_first_name": "YAZAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "201-640-1046"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quiet Corner Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Putnam, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.