Active NPIOrganization

Healthy Smiles Dental Care, P.c.

Dentist, General Practice in Windsor Locks, Connecticut

NPI Number1104833862
Practice location
20 Main St Ste 17, Windsor Locks, CT 06096-2345
Fax
860-370-5467
Last updated
November 13, 2019

Healthy Smiles Dental Care, P.c. is a healthcare organization based in Windsor Locks, CT. Healthy Smiles Dental Care, P.c. practices in Windsor Locks, CT. The NPI Number for Healthy Smiles Dental Care, P.c. is 1104833862 and holds a License No. 009404 (CT). The current practice location address for Healthy Smiles Dental Care, P.c. is 20 Main St Ste 17, Windsor Locks, CT 06096-2345 and can be reached out via phone at 860-623-2601 and via fax at 860-370-5467.

Provider Profile Details

NPI Number
1104833862
Provider Name
Healthy Smiles Dental Care, P.c.
Provider Entity Type
Organization
Address
20 Main St Ste 17, Windsor Locks, CT 06096-2345
Phone Number
860-623-2601
Fax Number
860-370-5467
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Chung Kim, DMD · President · 860-623-2601
Provider Enumeration Date
August 2, 2006
Last Update Date
November 13, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Main St Ste 17
Windsor Locks, CT 06096-2345
Zip
06096-2345
Phone Number
860-623-2601
Fax Number
860-370-5467
Windsor Locks, CT 06096Get directions →

Provider Business Mailing Address Details

Address
2O Main St
Ste 17
Windsor Locks, CT 06096-1916
City
Windsor Locks
State
CT
Zip
06096-1916
Phone Number
860-623-2601
Fax Number
860-370-5467

License Information

License Number
009404
License State
CT
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Healthy Smiles Dental Care, P.c.?

The NPI number of Healthy Smiles Dental Care, P.c. is 1104833862. It was assigned on August 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Healthy Smiles Dental Care, P.c.?

Healthy Smiles Dental Care, P.c. is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 009404.

Where does Healthy Smiles Dental Care, P.c. practice?

The practice location is 20 Main St Ste 17, Windsor Locks, CT 06096-2345. The office can be reached at 860-623-2601 (phone) or 860-370-5467 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104833862 directly on the NPPES registry website.

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