Active NPI
C&S Dental Care LLC
- Dental Clinic/Center
- Hartford, CT
National Provider Identifier
1023530441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 011234
- Legal business name
- C&S DENTAL CARE LLC
- Practice address
- 456 Park St
Hartford, CT 06106-1525 - Phone
- (860) 293-2000
- Fax
- (860) 293-2007
- NPI assigned
- Jul 7, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bohun Choi
- Title
- DDS
- Phone
- (585) 732-1994
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 011234 | CT | Primary |
Addresses
Primary practice location
456 Park St
Hartford, CT 06106-1525
Mailing address
456 Park St
Hartford, CT 06106-1525
Phone (860) 293-2000
Other names 1
- Park street family dental
National Provider Directory
National Provider DirectoryLocations
456 Park St
Hartford, CT 06106
Phone (860) 293-2000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1023530441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "456 PARK ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061061525",
"telephone_number": "860-293-2000",
"fax_number": "860-293-2007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "456 PARK ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061061525",
"telephone_number": "860-293-2000",
"fax_number": "860-293-2007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C&S DENTAL CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-07",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "CHOI",
"authorized_official_first_name": "BOHUN",
"authorized_official_title_or_position": "DDS",
"authorized_official_telephone_number": "585-732-1994"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "CT",
"license": "011234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Park street family dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.