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DR.DENTAL OF NEW HAVEN, PC
NPI 1104187673
Dentist - General Practice in New Haven, CT

Active since May 31, 2012
122 AMITY ROAD, NEW HAVEN, CT 06515(203) 671-8949(203) 288-3004 Get Directions Write a Review

NPPES record last updated: May 31, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr.dental Of New Haven, Pc NPPES

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

DR.DENTAL OF NEW HAVEN, PC (NPI 1104187673) is a healthcare organization registered as a general practice in New Haven, Connecticut and active in the NPI registry since May 2012. The organization lists Kayne Michael Bosma, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1104187673
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDR.DENTAL OF NEW HAVEN, PC
Location Address122 AMITY ROADNew Haven, CT 06515
Mailing Address122 Amity RoadNew Haven, CT 06515 · (203) 671-8949 · Fax (203) 288-3004
Phone(203) 671-8949
Fax(203) 288-3004
Organization SubpartNo
Authorized OfficialKayne Michael BosmaManaging Director · (203) 671-8949
Enumeration DateMay 31, 2012
✔ NPI 1104187673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
122 AMITY ROAD, New Haven, CT 06515
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Other Identifiers 1

Medicaid008007943CT

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Dr.Dental Of New Haven, PC's NPI number?

The NPI number for Dr.Dental Of New Haven, PC is 1104187673. It was assigned to this organization in the NPPES registry on May 31, 2012.

Where is Dr.Dental Of New Haven, PC located?

Dr.Dental Of New Haven, PC is located at 122 Amity Road, New Haven, CT 06515. The listed phone number is (203) 671-8949.

What is Dr.Dental Of New Haven, PC's specialty?

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

What insurance does Dr.Dental Of New Haven, PC accept?

Health plans from UnitedHealthcare list Dr.Dental Of New Haven, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dr.Dental Of New Haven, PC was last updated on May 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.