Advanced Dental Sleep Medicine of Connecticut, PC

Primary specialty

DentistTaxonomy code 122300000X

License

10264 Issued in CT

Legal business name

ADVANCED DENTAL SLEEP MEDICINE OF CONNECTICUT, PC

Practice address

1208B VFW Pkwy Ste 303
West Roxbury, MA 02132-4350

Phone

(844) 557-1701

NPI assigned

Jun 27, 2017

Last updated

Feb 21, 2019By 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

Reza Radmand, DMD

Title

President

Phone

(844) 557-1701

Specialties & licenses 1

Addresses

Tax ID family

Advanced Dental Sleep Medicine2 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.

• Advanced Dental Sleep Medicine of Connecticut, PC

  • Dentist
  • New Haven, CT
  • NPI 1215457551
  NPD tax ID

Locations

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1962922203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066155966",
            "telephone_number": "844-557-1701",
            "fax_number": "888-956-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208B VFW PKWY STE 303",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021324350",
            "telephone_number": "844-557-1701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2514 Boston Post Rd Ste 1C",
            "address_purpose": "LOCATION",
            "city": "Guilford",
            "state": "CT",
            "postal_code": "064371339",
            "country_code": "US",
            "telephone_number": "844-557-1701",
            "fax_number": "888-956-3939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED DENTAL SLEEP MEDICINE OF CONNECTICUT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "RADMAND",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "844-557-1701",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "10264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolas Abbott
• Carol Abizaid, LICSW
• Ace Dental West Roxbury, PLLC
• Andrea Acosta, PA-C
• Michael Arthur Adams, RN
• Sumaiya Afroz
• Elsa J Aguilera, M.D.
• Neyaz Ahmad, MD
• Asma Ahmed, ANP
• Mohamed Al-Janabi, D.M.D

• Dentist in West Roxbury, MA
• Providers in West Roxbury, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.