OrganizationActive
Enfield Pediatric Dentistry LLC
NPI 1790068500 · Pediatric Dentistry · Enfield, CT
Enfield Pediatric Dentistry LLC is a Pediatric Dentistry organization in Enfield, CT (NPI 1790068500).
Provider details
- NPI number
- 1790068500
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Toni Russo, Owner(860) 749-6622
- License
- 010105 (CT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
233 Hazard Avenue
Enfield, CT 06082
Phone: (860) 749-6622
Street-level locationGet directions
Mailing address
233 Hazard Avenue
Enfield, CT 06082
Registry dates
- Enumerated
- 2011-09-28
- Last updated
- 2011-09-28
Frequently asked questions
- What is Enfield Pediatric Dentistry LLC's NPI number?
- Enfield Pediatric Dentistry LLC's National Provider Identifier (NPI) is 1790068500, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Enfield Pediatric Dentistry LLC?
- Enfield Pediatric Dentistry LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Enfield Pediatric Dentistry LLC located?
- Enfield Pediatric Dentistry LLC's practice location on file with NPPES is 233 Hazard Avenue, Enfield, CT 06082.
- What is Enfield Pediatric Dentistry LLC's phone number?
- The practice phone number listed in the NPPES registry for Enfield Pediatric Dentistry LLC is (860) 749-6622.
- Who is the authorized official for Enfield Pediatric Dentistry LLC?
- The authorized official listed on Enfield Pediatric Dentistry LLC's NPPES record is Toni Russo, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Enfield Pediatric Dentistry LLC's NPI active?
- Yes — Enfield Pediatric Dentistry LLC's NPI (1790068500) is active in the NPPES registry as of the last update on 2011-09-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.