Clear Smile Dental Studio PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CLEAR SMILE DENTAL STUDIO PLLC

Practice address

800 E Main St
Stamford, CT 06902-3832

Phone

(203) 539-0345

NPI assigned

Feb 3, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Byung Chul Park, DDSNPI 1316317092

Title

Owner

Phone

(203) 539-0345

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Byungchul Park, D.D.S.

  • General Practice Dentistry
  • New London, CT
  • NPI 1316317092
  NPD Authorized official

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1154952513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 SUMMER ST UNIT 1002",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069012344",
            "telephone_number": "201-230-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E MAIN ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023832",
            "telephone_number": "203-539-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR SMILE DENTAL STUDIO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "BYUNG CHUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-539-0345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "clearsmiledentalstudio@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "800 E Main St",
            "city": "Stamford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "069023832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle Allison Clark, F.N.P.
• Sarah Clark, MS CGC
• Debbie A. Clarke, PA
• Hannah Clarke, NP
• Monique Teresa Class, APRN
• Chelsea Ann Clemens, PA
• Clinic 21 of Connecticut LLC
• CNP Primary Care and Wellness, LLC
• Coastal Connecticut Radiology Associates, P.C.
• Coastal Obstetrics and Gynecology PC

• General Practice Dentistry in Stamford, CT
• Providers in Stamford, 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 Feb 3, 2020; 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.