Healthy Smiles Dental Care, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

009404 Issued in CT

Legal business name

HEALTHY SMILES DENTAL CARE, P.C.

Practice address

20 Main St Ste 17
Windsor Locks, CT 06096-2345

Phone

(860) 623-2601

Fax

(860) 370-5467

NPI assigned

Aug 2, 2006

Last updated

Nov 13, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Chung Kim, DMDNPI 1548227051

Title

President

Phone

(860) 623-2601

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chung K Kim, D.M.D.

  • General Practice Dentistry
  • Windsor Locks, CT
  • NPI 1548227051
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1104833862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2O MAIN ST",
            "address_2": "STE 17",
            "city": "WINDSOR LOCKS",
            "state": "CT",
            "postal_code": "060961916",
            "telephone_number": "860-623-2601",
            "fax_number": "860-370-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MAIN ST STE 17",
            "city": "WINDSOR LOCKS",
            "state": "CT",
            "postal_code": "060962345",
            "telephone_number": "860-623-2601",
            "fax_number": "860-370-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SMILES DENTAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-623-2601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "009404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008003404",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Jean Geckler
• Christine Goldfarb
• Cortora Sontique Green
• Happy Adams Transportation of Windsor Locks L L C
• Rebecca Michelle Harpin
• Holistic Healthcare
• House of Eve
• Jennell Ifill, RN
• Jaquar Limo LLC
• Sheldon Kafer, M.D.

• General Practice Dentistry in Windsor Locks, CT
• Providers in Windsor Locks, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.