Active NPIOrganization

Deep River Family Dental PLLC

Dentist, General Practice in Deep River, Connecticut

NPI Number1548002496
Practice location
199 Main St, Deep River, CT 06417-2021
Fax
—
Last updated
June 11, 2024

Deep River Family Dental PLLC is a healthcare organization based in Deep River, CT. Deep River Family Dental PLLC practices in Deep River, CT. The NPI Number for Deep River Family Dental PLLC is 1548002496. The current practice location address for Deep River Family Dental PLLC is 199 Main St, Deep River, CT 06417-2021 and can be reached out via phone at 860-526-9519.

Provider Profile Details

NPI Number
1548002496
Provider Name
Deep River Family Dental PLLC
Provider Entity Type
Organization
Address
199 Main St, Deep River, CT 06417-2021
Phone Number
860-526-9519
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Soonho Kwon, DMD · Owner/Dentist · 860-526-9519
Provider Enumeration Date
June 11, 2024
Last Update Date
June 11, 2024
Certification Date
June 11, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
199 Main St
Deep River, CT 06417-2021
Zip
06417-2021
Phone Number
860-526-9519
Deep River, CT 06417Get directions →

Provider Business Mailing Address Details

Address
199 Main St
Deep River, CT 06417-2021
City
Deep River
State
CT
Zip
06417-2021
Phone Number
860-526-9519

License Information

Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

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

Other Dentist, General Practice providers near Deep River, CT

View all Dentist, General Practice providers in Deep River →

Frequently Asked Questions

What is the NPI number of Deep River Family Dental PLLC?

The NPI number of Deep River Family Dental PLLC is 1548002496. It was assigned on June 11, 2024 and is currently active in the NPPES registry.

What is the specialty of Deep River Family Dental PLLC?

Deep River Family Dental PLLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).

Where does Deep River Family Dental PLLC practice?

The practice location is 199 Main St, Deep River, CT 06417-2021. The office can be reached at 860-526-9519 (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 1548002496 directly on the NPPES registry website.

Browse related providers