DENTAL GROUP OF HARTFORD PC (NPI# 1396051165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396051165 |
| Entity Type | Organization |
| Organization Name | DENTAL GROUP OF HARTFORD PC |
| Practice Address |
18 Madison St Hartford CT 06106-2324 |
| Practice Telephone | 8602061934 |
| Practice Fax Number | 8602060192 |
| Mailing Telephone | 8602061394 |
| Mailing Fax Number | 8602060192 |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2010-12-09 |
| Authorized Official Name | ROXANNE TAMAYO-BORDIES (OWNER) |
| Authorized Official Telephone | 8605486350 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
18 MADISON ST |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-2324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679822571 | Family Dentistry of Hartford, LLC | Dentist | 18 Madison St, Hartford, CT 06106-2324 | 2012-09-06 |
| 1922378256 | Hartford Dental Care, LLC | Dentist | 18 Madison St, Hartford, CT 06106-2324 | 2012-01-03 |
| 1326317371 | Yoo Kon Kim | Dentist | 18 Madison St, Hartford, CT 06106-2324 | 2011-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907325 | Vartika Kesarwani | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-19 |
| 1720602865 | Meher Kaur Singha | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-04 |
| 1497314140 | Eduardo Mantovani Cardoso | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-06-06 |
| 1114582178 | Dimitrios Drekolias | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-05-06 |
| 1316501687 | Rafae Shaikh | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-04-23 |
| 1437643715 | Lucas Bensa | Social Worker | 421 Washington St., Apt C1, Hartford, CT 06106 | 2018-06-19 |
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1619460581 | Bryan F Stringer | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 | 2018-06-14 |
| 1083103972 | Margret Sigurdardottir Blondal | Student in an Organized Health Care Education/Training Program | 282 Washington Street, Ste 4h, Hartford, CT 06106 | 2018-05-07 |
| 1265920995 | Rudra Ramanathan | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave Brown Stone, Hartford, CT 06106 | 2018-04-27 |
| Find all providers in zip 06106 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083237259 | Dental Smiles of Hartford, Pllc | Dentist | 550 Farmington Ave Ste B, Hartford, CT 06105-3041 | 2020-05-22 |
| 1154814069 | Signature Smiles of Hartford LLC | Dentist | 550 Farmington Avenue, Suite B, Hartford, CT 06105 | 2018-06-14 |
| 1609304542 | Mallory Elizabeth Goding | Dentist | 1000 Asylum Ave Ste 3203, Hartford, CT 06105-1702 | 2017-05-23 |
| 1962830455 | Mattheis Hartford Dental Clinic, P.C. | Dentist | 304 W. Hwy 38 Suite #138, Hartford, SD 57033-0757 | 2013-10-22 |
| 1679833958 | Seth William Griffin | Dentist | 19 W. South St, Hartford, MI 49057 | 2012-05-21 |
| 1679864631 | Peter F Wilk D.d.s. | Dentist | 1163 Grand Ave, Hartford, WI 53027-2207 | 2011-04-26 |
| 1275761017 | Andrew Bruce Hamilton | Dentist | 57418 County Road 681 Ste A, Hartford, MI 49057-9422 | 2009-07-01 |
| 1023245842 | Jacob Marshall Gady | Dentist | 54 Retreat Ave, Hartford, CT 06106-2526 | 2009-06-19 |
| 1144488438 | M Brandt Bower | Dentist | 784 S Main St, Hartford, WI 53027-2407 | 2008-05-23 |
| 1396919775 | Dennis H. Resnick | Dentist | 231 Sisson Avenue, Hartford, CT 06105-3109 | 2008-04-17 |
| Find all providers in HARTFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.