ENFIELD PEDIATRIC DENTISTRY LLC
NPI 1790068500
Dentist - Pediatric Dentistry in Enfield, CT

NPI Status: Active since September 28, 2011

Contact Information

233 HAZARD AVENUE
ENFIELD, CT
ZIP 06082
Phone: (860) 749-6622

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  • Organization
  • Dentist
  • Pediatric Dentistry

About ENFIELD PEDIATRIC DENTISTRY LLC

This page provides the complete NPI Profile along with additional information for Enfield Pediatric Dentistry Llc, a provider established in Enfield, Connecticut operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1790068500 assigned on September 2011. The practitioner's primary taxonomy code is 1223P0221X with license number 010105 (CT). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Toni L Russo Dmd (Owner)

NPI
1790068500
Provider Name
ENFIELD PEDIATRIC DENTISTRY LLC
Entity Type
Organization
Location Address
233 HAZARD AVENUE ENFIELD, CT 06082
Location Phone
(860) 749-6622
Mailing Address
233 HAZARD AVENUE ENFIELD, CT 06082
Mailing Phone
(860) 749-6622
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-28-2011
Last Update Date
09-28-2011
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A dentist like Enfield Pediatric Dentistry Llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Pediatric Dentistry

Taxonomy Code
1223P0221X
Type
Dental Providers
License No.
010105
License State
CT
Taxonomy Description
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TONI L RUSSO DMD

Authorized Official Title
OWNER
Authorized Official Phone
(860) 749-6622

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1790068500
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27180061650
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 0 + 6 + 1 + 6 + 5 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1790068500 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790068500, enumerated in the NPI registry as an "organization" on September 28, 2011

The provider is located at 233 Hazard Avenue Enfield, Ct 06082 and the phone number is (860) 749-6622

This medical organization specializes in Dentist with taxonomy code 1223P0221X with a focus in Pediatric Dentistry

This NPI record was last updated on September 28, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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