Active NPIOrganization

Blooming Smile Dental PC

Dentist in Monroe, Connecticut

NPI Number1619785870
Practice location
162 Purdy Hill RD, Monroe, CT 06468-2115
Fax
—
Last updated
May 8, 2025

Blooming Smile Dental PC is a healthcare organization based in Monroe, CT. Blooming Smile Dental PC practices in Monroe, CT. The NPI Number for Blooming Smile Dental PC is 1619785870. The current practice location address for Blooming Smile Dental PC is 162 Purdy Hill RD, Monroe, CT 06468-2115 and can be reached out via phone at 917-603-0675.

Provider Profile Details

NPI Number
1619785870
Provider Name
Blooming Smile Dental PC
Provider Entity Type
Organization
Address
162 Purdy Hill RD, Monroe, CT 06468-2115
Phone Number
917-603-0675
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Dr. Hee Soo Kim, DDS · Owner · 203-884-8887
Provider Enumeration Date
December 19, 2024
Last Update Date
May 8, 2025
Certification Date
May 8, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
162 Purdy Hill RD
Monroe, CT 06468-2115
City
Monroe
Zip
06468-2115
Phone Number
917-603-0675
Monroe, CT 06468Get directions →

Provider Business Mailing Address Details

Address
162 Purdy Hill RD
Unit 2 And 3
Monroe, CT 06468-2115
City
Monroe
State
CT
Zip
06468-2115

License Information

Taxonomy
Dentist · 122300000X · 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 Blooming Smile Dental PC?

The NPI number of Blooming Smile Dental PC is 1619785870. It was assigned on December 19, 2024 and is currently active in the NPPES registry.

What is the specialty of Blooming Smile Dental PC?

Blooming Smile Dental PC is registered under the primary taxonomy Dentist (code 122300000X).

Where does Blooming Smile Dental PC practice?

The practice location is 162 Purdy Hill RD, Monroe, CT 06468-2115. The office can be reached at 917-603-0675 (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 1619785870 directly on the NPPES registry website.

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