HARTFORD FAMILY DENTAL CARE, LLC (NPI# 1710531702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710531702 |
| Entity Type | Organization |
| Organization Name | HARTFORD FAMILY DENTAL CARE, LLC |
| Practice Address |
73 Liberty Ave Hartford WI 53027-8739 |
| Practice Telephone | 2626732960 |
| Enumeration Date | 2019-07-28 |
| Last Update Date | 2019-07-28 |
| Authorized Official Name | LYNNE CHARMOLI (OPERATIONS MANAGER) |
| Authorized Official Telephone | 2626732960 |
| Authorized Official Credential | RDH, BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
73 LIBERTY AVE |
| City | HARTFORD |
| State | WI |
| Zip Code | 53027-8739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346336294 | Scott W Charmoli | Dentist | 73 Liberty Ave, Hartford, WI 53027-8739 | 2006-10-05 |
| 1033560529 | Scott Beard | Dentist | 73 Liberty Ave, Hartford, WI 53027-8739 | 2016-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942792254 | Quad/med, LLC | Clinic/Center | 1900 W. Sumner Street, Hartford, WI 53027 | 2018-06-01 |
| 1700390242 | Dr. Espinosa Dds Tooth Or Gum, LLC | Dentist | 784 South Main St, Hartford, WI 53027 | 2017-11-20 |
| 1598169559 | Amy Jo Hoeppner | Registered Nurse | 1621 Falcon Dr., Hartford, WI 53027 | 2014-10-20 |
| 1205179918 | Susan Aleen Sterman | Technician | 4835 Cty Rd U, Hartford, WI 53027 | 2013-04-01 |
| 1881927713 | Ross Timothy Koehler | Specialist/Technologist | 1900 W Sumner St, Hartford, WI 53027 | 2009-09-10 |
| 1518130004 | Kamalpreet Dulai | Family Medicine | 110 Lone Oak Lane, Hartford, WI 53027 | 2008-04-07 |
| 1679775688 | Kelly M Schroeder | Physical Therapist | 1640 E. Sumner Street, Hartford, WI 53027 | 2007-06-01 |
| 1871794453 | Sandra Ann Weber | Registered Nurse | 4815 North Merton Drive, Hartford, WI 53027 | 2007-05-30 |
| 1306051743 | Agnes P Dietenberger | Physical Therapy Assistant | 1640 E. Sumner St., Hartford, WI 53027 | 2007-05-11 |
| 1164636619 | Robert W Fulton | Physical Therapist | 1640 East Sumner Street, Hartford, WI 53027 | 2007-05-10 |
| Find all providers in zip 53027 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023530441 | C&s Dental Care LLC | Clinic/Center | 456 Park St, Hartford, CT 06106-1525 | 2017-07-07 |
| 1992992119 | Hartford Dispensary | Clinic/Center | 12 - 14 Weston St, Hartford, CT 06120-1504 | 2007-10-02 |
| 1164995429 | Seth Griffin Dds Pllc | Clinic/Center | 19 W South St, Hartford, MI 49057-1236 | 2019-01-09 |
| 1518467174 | Wheeler Clinic Inc. | Clinic/Center | 43 Woodland St, Hartford, CT 06105-2363 | 2018-02-20 |
| 1497120232 | Jp Dental Inc | Clinic/Center | 19 Woodland St, Suite 32, Hartford, CT 06105-2372 | 2015-12-04 |
| 1750632659 | Community Health Services, Inc. | Clinic/Center | 500 Albany Ave, Hartford, CT 06120-2508 | 2012-10-02 |
| 1730284605 | Community Health Services, Inc. | Clinic/Center | 500 Albany Ave, Hartford, CT 06120-2508 | 2006-09-14 |
| 1770696643 | Hartford Hospital | Clinic/Center | 80 Seymour St, Hartford, CT 06102-8000 | 2006-08-16 |
| 1780673293 | Saint Francis Hospital and Medical Center | Clinic/Center | 1000 Asylum Ave, Suite 3200, Hartford, CT 06105-1770 | 2005-10-18 |
| 1003805524 | Saint Francis Hospital and Medical Center | Clinic/Center | 114 Woodland St, Hartford, CT 06105-1208 | 2005-10-18 |
| 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.