KIDS DENTAL SPECIALISTS LLC (NPI# 1184157430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184157430 |
| Entity Type | Organization |
| Organization Name | KIDS DENTAL SPECIALISTS LLC |
| Other Organization Name | TOOTH FAIRY PEDIATRIC DENTISTRY |
| Practice Address |
345 Main St Danbury CT 06810-5847 |
| Practice Telephone | 2034032525 |
| Practice Fax Number | 2034032545 |
| Mailing Telephone | 2034032525 |
| Mailing Fax Number | 2034032545 |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |
| Authorized Official Name | DR. SUHO LEE (MEMBER) |
| Authorized Official Telephone | 2034032525 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
009091 | CT | Dental Providers |
| Other Name | Type Code |
|---|---|
| Tooth Fairy Pediatric Dentistry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477811842 | Kids Dental Specialists LLC | Dentist | 1305 S Alma School Rd, Mesa, AZ 85210-2070 | 2012-04-24 |
| Street Address |
345 MAIN ST |
| City | DANBURY |
| State | CT |
| Zip Code | 06810-5847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751017 | Jai Karan Singh | Student in an Organized Health Care Education/Training Program | 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 | 2020-05-14 |
| 1497377576 | Jahangir Rouzbehani Selakhor | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave. 06810-6099, Danbury, CT 06810 | 2020-05-12 |
| 1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
| 1740748755 | Jose Rafael Rivera | Pharmacist | 305 White St, Danbury, CT 06810 | 2019-03-08 |
| 1013406396 | Aswathi Elsa Mathew | Student in an Organized Health Care Education/Training Program | Greater Danbury Community Health Center, 120 Main St, Danbury, CT 06810 | 2018-05-02 |
| 1073001772 | Manish Kumar Gupta | Student in an Organized Health Care Education/Training Program | Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 | 2018-04-27 |
| 1396232005 | Ayushman Rai Sood | Student in an Organized Health Care Education/Training Program | 24 Hospital Avenue, Danbury Hospital, Danbury, CT 06810 | 2018-04-18 |
| 1366953705 | Connecticut Neurodiagnostics, LLC | Clinic/Center | 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 | 2017-10-12 |
| 1528585569 | Xing Zhu | Dentist | 28 Paulding Ter, Danbury, CT 06810 | 2017-08-29 |
| 1851812606 | Julie Susanne Alferi | Dental Hygienist | 70, Main Street, Danbury, CT 06810 | 2017-07-02 |
| Find all providers in zip 06810 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437225968 | Raven Roberts Henderson | Dentist | Dental Associates of Ct PC, 36 Padanaram Rd, Danbury, CT 06811 | 2006-11-27 |
| 1790843837 | John Iwasaki | Dentist | 36 Padanaram Rd, Dental Associates of Ct PC, Danbury, CT 06811 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902426240 | River Road Pediatric Dentistry, LLC | Dentist | 865 River Rd Ste 10, Shelton, CT 06484-5464 | 2020-04-16 |
| 1326507369 | True Pediatric Dental Care LLC | Dentist | 233 Elm St Fl 2, West Haven, CT 06516-4635 | 2019-03-19 |
| 1740756345 | Grace Tylo LLC | Dentist | 35 Cold Spring Rd Ste 324, Rocky Hill, CT 06067-3163 | 2018-10-22 |
| 1932684990 | Orange Children's Dentistry, LLC | Dentist | 518 Boston Post Rd Ste 4-5, Orange, CT 06477-3554 | 2018-09-26 |
| 1992293443 | Braces On Me, P.C. | Dentist | 209 Boston Post Rd Ste 312, Milford, CT 06460-3161 | 2018-04-30 |
| 1417452541 | Bloomfield Pediatric Dentistry Pllc | Dentist | 34 Jerome Ave Ste 200, Bloomfield, CT 06002-2463 | 2018-03-29 |
| 1033622246 | Magicland Pediatric Dental LLC | Dentist | 815 Wolcott St, Waterbury, CT 06705-1301 | 2017-11-09 |
| 1023569654 | The Little Tooth Company Pediatric Dentistry LLC | Dentist | 264 Queen St, Suite A, Southington, CT 06489-1901 | 2016-10-19 |
| 1386035707 | Modern Family Dental | Dentist | 360 Boston Ave, Suite 17, Stratford, CT 06614-5213 | 2015-02-06 |
| 1053727479 | Sph3enterprise, LLC | Dentist | 194 Buckland Hills Drive, Manchester, CT 06042 | 2014-07-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.