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BLOOMFIELD FAMILY DENTAL PC
NPI 1104162890
Dentist - General Practice in Bloomfield, CT

Active since December 27, 2012
2 WINTONBURY MALL, #5, BLOOMFIELD, CT 06002(860) 656-6941(860) 656-6107 Get Directions Write a Review

NPPES record last updated: March 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bloomfield Family Dental Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLOOMFIELD FAMILY DENTAL PC (NPI 1104162890) is a healthcare organization registered as a general practice in Bloomfield, Connecticut and active in the NPI registry since December 2012. The organization lists Shari Mathew, General Dentist, as its authorized official.

NPPES Registry Identity

NPI1104162890
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBLOOMFIELD FAMILY DENTAL PC
Location Address2 WINTONBURY MALL, #5Bloomfield, CT 06002-2466
Mailing Address2 Wintonbury Mall, #5Bloomfield, CT 06002-2466 · (860) 656-6941 · Fax (860) 656-6107
Phone(860) 656-6941
Fax(860) 656-6107
Organization SubpartNo
Authorized OfficialShari MathewGeneral Dentist · (860) 656-6941
Enumeration DateDecember 27, 2012
Last NPPES UpdateMarch 7, 2016
✔ NPI 1104162890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CT · 009298
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2 WINTONBURY MALL, Bloomfield, CT 06002
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Other Identifiers 1

Medicaid1962684415CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALPHONSO L. MACK D.M.D.
Dentist (General Practice)
2 WINTONBURY MALL, BUILDING #5
BLOOMFIELD, CT 06002
Capitol Planning Region (860) 243-5451
DR. DOROTHY AGNES MARTIN-NEVILLE PH.D.
Specialist
2 WINTONBURY MALL
BLOOMFIELD, CT 06002
Capitol Planning Region (860) 286-5400
HEBREW COMMUNITY SERVICES INC
Home Health
2 WINTONBURY MALL
BLOOMFIELD, CT 06002
Capitol Planning Region (860) 522-3380
WINTONBURY DENTAL ASSOCIATES, P.C.
Dentist (General Practice)
2 WINTONBURY MALL
BLOOMFIELD, CT 06002
Capitol Planning Region (860) 243-5451

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bloomfield Family Dental PC's NPI number?

The NPI number for Bloomfield Family Dental PC is 1104162890. It was assigned to this organization in the NPPES registry on December 27, 2012.

Where is Bloomfield Family Dental PC located?

Bloomfield Family Dental PC is located at 2 Wintonbury Mall #5, Bloomfield, CT 06002. The listed phone number is (860) 656-6941.

What is Bloomfield Family Dental PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Bloomfield Family Dental PC was last updated on March 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.