Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. FARAH DJUNAEDI DMD
NPI 1619710001
Dentist in East Hartford, CT

Q: What is Farah Djunaedi's NPI number?

The NPI number for Farah Djunaedi is 1619710001. It was assigned to this individual provider in the NPPES registry on June 14, 2024.

Q: What is Farah Djunaedi's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Farah Djunaedi was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.

Active since June 14, 2024

270 BURNSIDE AVE, EAST HARTFORD, CT 06108(860) 289-9558 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2026, Jun 14, 2024 (2 updates tracked since 2024).

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About Dr. Farah Djunaedi Dmd NPPES

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

DR. FARAH DJUNAEDI DMD (NPI 1619710001) is an individual dentist in East Hartford, Connecticut, licensed in Connecticut (14828) and active in the NPI registry since June 2024. She maintains a secondary practice location in Hartford.

NPPES Registry Identity

NPI1619710001

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. FARAH DJUNAEDICredential: DMD

Location Address270 BURNSIDE AVEEast Hartford, CT 06108-2315

Mailing Address270 Burnside AveEast Hartford, CT 06108-2315 · (860) 289-9558

Phone(860) 289-9558

Sole ProprietorNo

Enumeration DateJune 14, 2024

Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration

NPPES CertifiedJuly 6, 2026

✔ NPI 1619710001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CT · 14828

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

270 BURNSIDE AVE, East Hartford, CT 06108

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Secondary Practice Location 1

Location 1576 Farmington AveHartford, CT 06105-3015 · Phone (860) 232-9002

Other Providers at the Same Location NPPES 6

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

DR. ELZBIETA MARCINCZYK DMD

Dentist (General Practice)