Active NPIOrganization

Stamford Pediatric Dentistry, LLC

Dentist, Pediatric Dentistry in Stamford, Connecticut

NPI Number1447548805
Practice location
4 Long Ridge RD, Stamford, CT 06905-3802
Fax
860-342-1284
Last updated
February 17, 2014

Stamford Pediatric Dentistry, LLC is a healthcare organization based in Stamford, CT. Stamford Pediatric Dentistry, LLC practices in Stamford, CT. The NPI Number for Stamford Pediatric Dentistry, LLC is 1447548805 and holds a License No. 9920 (CT). The current practice location address for Stamford Pediatric Dentistry, LLC is 4 Long Ridge RD, Stamford, CT 06905-3802 and can be reached out via phone at 860-342-4141 and via fax at 860-342-1284.

Provider Profile Details

NPI Number
1447548805
Provider Name
Stamford Pediatric Dentistry, LLC
Provider Entity Type
Organization
Address
4 Long Ridge RD, Stamford, CT 06905-3802
Phone Number
860-342-4141
Fax Number
860-342-1284
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Organization Subpart
No
Authorized Official
Dr. Tae Chul Ho, DDS · Owner · 860-342-4141
Other Names
Long Ridge Dental Group (Doing Business As)
Provider Enumeration Date
July 19, 2011
Last Update Date
February 17, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Long Ridge RD
Stamford, CT 06905-3802
Zip
06905-3802
Phone Number
860-342-4141
Fax Number
860-342-1284
Stamford, CT 06905Get directions →

Provider Business Mailing Address Details

Address
4 Long Ridge RD
Stamford, CT 06905-3802
City
Stamford
State
CT
Zip
06905-3802
Phone Number
860-342-4141
Fax Number
860-342-1284

License Information

License Number (1)
9920
License State (1)
CT
Taxonomy (1)
Dentist, Pediatric Dentistry · 1223P0221X
License Number (2)
009846
License State (2)
CT
Taxonomy (2)
Clinic/Center, Dental · 261QD0000X
License Number (3)
009846
License State (3)
CT
License Number (4)
9846
License State (4)
CT
Taxonomy (4)
Dentist, Pediatric Dentistry · 1223P0221X · 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 Stamford Pediatric Dentistry, LLC?

The NPI number of Stamford Pediatric Dentistry, LLC is 1447548805. It was assigned on July 19, 2011 and is currently active in the NPPES registry.

What is the specialty of Stamford Pediatric Dentistry, LLC?

Stamford Pediatric Dentistry, LLC is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in CT under license number 9920.

Where does Stamford Pediatric Dentistry, LLC practice?

The practice location is 4 Long Ridge RD, Stamford, CT 06905-3802. The office can be reached at 860-342-4141 (phone) or 860-342-1284 (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 1447548805 directly on the NPPES registry website.

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