Healthcare Provider Details

I. General information

NPI: 1841029378
Provider Name (Legal Business Name): ADITHI KARTHIKEYAN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2024
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date: 05/13/2025
Reactivation Date: 07/28/2026

III. Provider practice location address

PLAINFIELD DENTAL, 721 NORWICH ROAD
PLAINFIELD CT
06374-1734
US

IV. Provider business mailing address

PLAINFIELD DENTAL, 721 NORWICH ROAD
PLAINFIELD CT
06374-1734
US

V. Phone/Fax

Practice location:
  • Phone: 860-546-4222
  • Fax: 860-546-4223
Mailing address:
  • Phone: 860-546-4222
  • Fax: 860-546-4223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number14820
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: