Tooth Fairy Pediatric Dentistry
LBN: Tooth Fairy Pediatric Dentistry
Tooth Fairy Pediatric Dentistry is an health care organization with primary practice located at 35 Copps Hill Rd Suite 6, Ridgefield CT 06877-4041. The organization recently has 4 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dentist Anesthesiologist, Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Pediatric Dentistry is the primary health care specialty.
Tooth Fairy Pediatric Dentistry can be contacted via phone (203) 403-2525, or through Lee, Suho via phone (203) 403-2525.
Contact Information
Primary practice address
35 Copps Hill Rd Suite 6
Ridgefield CT 06877-4041
Phone: (203) 403-2525
Fax: (203) 403-2545
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | ||
Dental Providers / Dentist Anesthesiologist | 1223D0004X | Connecticut | |
Dental Providers / Pediatric Dentistry | 1223P0221X | 9091 | Connecticut |
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 9135 | Connecticut |
Profile Details
NPI number | 1609016963 |
---|---|
LBN Legal business name | Tooth Fairy Pediatric Dentistry |
DBA Doing business as | |
Authorized official | Lee, Suho Doctor of Dental Surgery (DDS) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 26th, 2009 |
Last updated | Nov 24th, 2014 - about 10 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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