Healthy Smiles Dental Care, P.C.

LBN: Healthy Smiles Dental Care, P.C.
Healthy Smiles Dental Care, P.C. is an health care organization with primary practice located at 20 Main St Ste 17 , Windsor Locks CT 06096-2345. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Healthy Smiles Dental Care, P.C. can be contacted via phone (860) 623-2601, or through Kim, Chung via phone (860) 623-2601.

Contact Information

Primary practice address
20 Main St Ste 17 Windsor Locks CT 06096-2345
Phone: (860) 623-2601
Fax: (860) 370-5467
Website:
Map and Directions
Authorized official contact:
Name: Kim, Chung Doctor of Dental Medicine (DMD)
Phone: (860) 623-2601

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 009404 Connecticut

Profile Details

NPI number 1104833862
LBN Legal business name Healthy Smiles Dental Care, P.C.
DBA Doing business as
Authorized official Kim, Chung Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 2nd, 2006
Last updated Nov 13th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104833862 NPPES
Connecticut MEDICAID 008003404

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