SPH3 ENTERPRISE, LLC (NPI# 1972893352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972893352 |
| Entity Type | Organization |
| Organization Name | SPH3 ENTERPRISE, LLC |
| Other Organization Name | BUCKLAND HILLS DENTAL |
| Practice Address |
194 Buckland Hills Dr Manchester CT 06042-8705 |
| Mailing Address |
553 Portland-cobalt Rd Portland CT 06480 |
| Practice Telephone | 8603424141 |
| Practice Fax Number | 8603421284 |
| Mailing Telephone | 8603424141 |
| Mailing Fax Number | 8603421284 |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2014-05-12 |
| Authorized Official Name | TAE CHUL HO (DENTIST) |
| Authorized Official Telephone | 8603424141 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
009920 | CT | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
009785 | CT | Dental Providers |
| N | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
Dental Providers | ||
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
009846 | CT | Dental Providers |
| Other Name | Type Code |
|---|---|
| Buckland Hills Dental | Doing Business As Name - Organization |
| Street Address |
194 BUCKLAND HILLS DR |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-8705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740335207 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 194 Buckland Hills Dr, Manchester, CT 06042-8705 | 2007-01-24 |
| 1972164010 | Haajra Ahmed | Optometrist | 194 Buckland Hills Dr, Manchester, CT 06042-8705 | 2019-06-27 |
| 1528588183 | Roshanjit Kaur | Dentist | 194 Buckland Hills Dr, Manchester, CT 06042-8705 | 2017-06-26 |
| 1154798247 | Sph3 Enterprise LLC | Dentist | 194 Buckland Hills Dr, Suite 1076, Manchester, CT 06042-8705 | 2015-08-25 |
| 1972919686 | Kyung Seok Ko | Dentist | 194 Buckland Hills Dr, Manchester, CT 06042-8705 | 2014-07-02 |
| 1649504432 | Prudhomme Vision LLC | Optometrist | 194 Buckland Hills Dr, Suite 1106, Manchester, CT 06042-8705 | 2009-09-25 |
| 1548450588 | Regan Marquis Prudhomme | Optometrist | 194 Buckland Hills Dr, Suite 1106, Manchester, CT 06042 | 2007-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275000960 | Nicole Berger | Behavioral Analyst | 199 Tudor Lane, Apartment E, Manchester, CT 06042 | 2018-10-31 |
| 1902336522 | Karen Scandura | Pharmacist | 260 North Main Street, Manchester, CT 06042 | 2017-06-15 |
| 1053727479 | Sph3enterprise, LLC | Dentist | 194 Buckland Hills Drive, Manchester, CT 06042 | 2014-07-07 |
| 1962657288 | Anthony Michael Gioscia | Optometrist | 344v Buckland Hills Dr, Manchester, CT 06042 | 2008-12-01 |
| 1467635714 | Linda Fernald Gates | Dietitian, Registered | 300 Parker St, Manchester, CT 06042 | 2007-12-10 |
| 1669513909 | Carlos Alfonso Gonzalez | Psychiatry & Neurology | 317 North Main Street, C/o Ccgc, Manchester, CT 06042 | 2007-02-09 |
| 1942350467 | Lise G. O'neill | Counselor | Manchester Memorial Hospital, 71 Haynes St, Manchester, CT 06042 | 2007-01-10 |
| 1558439398 | Jason Allen Sousa | Chiropractor | 1127 Tolland Turnpike, Suite 102, Manchester, CO 06042 | 2006-12-01 |
| 1245332444 | Sharon Soria | Dentist | 192 Main Street, Manchester, TN 06042 | 2006-09-01 |
| 1699732206 | First Choice Health Centers, Inc. | Clinic/Center | 150 N Main St Ste 240, Manchester, CT 06042 | 2006-04-27 |
| Find all providers in zip 06042 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137228 | Oasis Dental, P.C. | Dentist | 1525 S Willow St Unit 5, Manchester, NH 03103-3209 | 2019-04-30 |
| 1336613330 | Dental Sleep Providers, LLC | Dentist | 945 Main St Ste 303, Manchester, CT 06040-6064 | 2019-01-14 |
| 1396246708 | Kenneth M. Laro Dmd LLC | Dentist | 153 Main St Ste 11, Manchester, CT 06042-3112 | 2018-02-22 |
| 1336654862 | Manchester Dentistry & Implants Pllc | Dentist | 43 Duncan Farms, Manchester, NH 03102-2363 | 2017-12-06 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1518344100 | Janiris Ruth Matos | Dentist | 8 Vinton Street, Dental Clinic, Manchester, NH 03103 | 2015-05-03 |
| 1063800399 | Manchester Dental Pllc | Dentist | 26 W Webster St, Manchester, NH 03104-2912 | 2015-01-09 |
| 1205232295 | Allan L Link Dmd & Associates LLC | Dentist | 14335 Manchester Rd, Manchester, MO 63011-4048 | 2014-11-18 |
| 1902219215 | Robert Fromuth | Dentist | 765 S Main St Ste 102, Manchester, NH 03102-5141 | 2014-06-04 |
| 1235474388 | Globus Dental Associates Manchester, PC | Dentist | 1540 Pleasant Valley Rd Ste G, Manchester, CT 06042-8760 | 2012-11-30 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06042 |
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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.