Active NPIOrganization

Wolcott Street Dental-2, PC

Dentist in Hartford, Connecticut

NPI Number1477878973
Practice location
1888 Main St, Hartford, CT 06120-2357
Fax
—
Last updated
August 19, 2022

Wolcott Street Dental-2, PC is a healthcare organization based in Hartford, CT. Wolcott Street Dental-2, PC practices in Hartford, CT. The NPI Number for Wolcott Street Dental-2, PC is 1477878973. The current practice location address for Wolcott Street Dental-2, PC is 1888 Main St, Hartford, CT 06120-2357 and can be reached out via phone at 800-920-9947.

Provider Profile Details

NPI Number
1477878973
Provider Name
Wolcott Street Dental-2, PC
Provider Entity Type
Organization
Address
1888 Main St, Hartford, CT 06120-2357
Phone Number
800-920-9947
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Michelle Jacomino · Director Of Payor Relations · 770-916-5036
Other Names
Sutton Dental (Doing Business As)
Provider Enumeration Date
March 29, 2010
Last Update Date
August 19, 2022
Certification Date
August 19, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1888 Main St
Hartford, CT 06120-2357
Zip
06120-2357
Phone Number
800-920-9947
Hartford, CT 06120Get directions →

Provider Business Mailing Address Details

Address
210 Interstate North Pkwy SE Ste 300
Atlanta, GA 30339-2233
City
Atlanta
State
GA
Zip
30339-2233
Phone Number
770-916-5028
Fax Number
678-247-7858

License Information

Taxonomy (1)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Taxonomy (2)
Dentist, Endodontics · 1223E0200X
Taxonomy (3)
Dentist, General Practice · 1223G0001X
Taxonomy (4)
Dentist, Pediatric Dentistry · 1223P0221X
Taxonomy (6)
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Wolcott Street Dental-2, PC?

The NPI number of Wolcott Street Dental-2, PC is 1477878973. It was assigned on March 29, 2010 and is currently active in the NPPES registry.

What is the specialty of Wolcott Street Dental-2, PC?

Wolcott Street Dental-2, PC is registered under the primary taxonomy Dentist (code 122300000X).

Where does Wolcott Street Dental-2, PC practice?

The practice location is 1888 Main St, Hartford, CT 06120-2357. The office can be reached at 800-920-9947 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477878973 directly on the NPPES registry website.

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