Magicland Dental LLC
Dentist, Pediatric Dentistry in Hartford, Connecticut
1295426963- Practice location
- 1200 Park St Ste C, Hartford, CT 06106-2232
- Phone
- 860-528-3350
- Fax
- —
- Last updated
- May 16, 2023
Magicland Dental LLC is a healthcare organization based in Hartford, CT. Magicland Dental LLC practices in Hartford, CT. The NPI Number for Magicland Dental LLC is 1295426963. The current practice location address for Magicland Dental LLC is 1200 Park St Ste C, Hartford, CT 06106-2232 and can be reached out via phone at 860-528-3350.
Provider Profile Details
- NPI Number
- 1295426963
- Provider Name
- Magicland Dental LLC
- Provider Entity Type
- Organization
- Address
- 1200 Park St Ste C, Hartford, CT 06106-2232
- Phone Number
- 860-528-3350
- Primary Taxonomy
- Dentist, Pediatric Dentistry · 1223P0221X
- Organization Subpart
- No
- Authorized Official
- Dr. Yoon Joong Allan Kwon, DDS · Member · 212-786-2187
- Provider Enumeration Date
- May 15, 2023
- Last Update Date
- May 16, 2023
- Certification Date
- May 16, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1200 Park St Ste C
Hartford, CT 06106-2232 - City
- Hartford
- State
- Connecticut
- Zip
- 06106-2232
- Phone Number
- 860-528-3350
Provider Business Mailing Address Details
- Address
- 1011 Main St
East Hartford, CT 06108-2294 - City
- East Hartford
- State
- CT
- Zip
- 06108-2294
- Phone Number
- 212-786-2187
License Information
- Taxonomy (1)
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
- Taxonomy (2)
- Dentist, Pediatric Dentistry · 1223P0221X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Pediatric Dentistry providers near Hartford, CT
View all Dentist, Pediatric Dentistry providers in Hartford →Frequently Asked Questions
What is the NPI number of Magicland Dental LLC?
The NPI number of Magicland Dental LLC is 1295426963. It was assigned on May 15, 2023 and is currently active in the NPPES registry.
What is the specialty of Magicland Dental LLC?
Magicland Dental LLC is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X).
Where does Magicland Dental LLC practice?
The practice location is 1200 Park St Ste C, Hartford, CT 06106-2232. The office can be reached at 860-528-3350 (phone).
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 1295426963 directly on the NPPES registry website.