Organization Active NPI

Brush & Floss Dental Center LLC

  • General Practice Dentistry
  • Stratford, CT
National Provider Identifier
1962617506
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5400 Issued in CT
Legal business name
BRUSH & FLOSS DENTAL CENTER LLC
Practice address
4949 Main St
Stratford, CT 06614-1613
Phone
(203) 378-9500
NPI assigned
May 14, 2007
Last updated
May 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2019

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

Authorized official

Name
Ms. Barbara Williams
Title
Practice Manager
Phone
(203) 378-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5400 CT Primary

Addresses

Primary practice location

4949 Main St
Stratford, CT 06614-1613

Mailing address

4949 Main St
Stratford, CT 06614-1613
Phone (203) 378-9500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1962617506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141613",
            "telephone_number": "203-378-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141613",
            "telephone_number": "203-378-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUSH & FLOSS DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "203-378-9500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "5400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.