Kids Dental Specialists LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

009091 Issued in CT

Legal business name

KIDS DENTAL SPECIALISTS LLC

Doing business as

Tooth Fairy Pediatric Dentistry

Practice address

345 Main St
Danbury, CT 06810-5847

Phone

(203) 403-2525

Fax

(203) 403-2545

NPI assigned

Apr 4, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Suho Lee, DDS

Title

Member

Phone

(203) 403-2525

Specialties & licenses 1

Addresses

Other names 1

• Tooth Fairy Pediatric Dentistry Doing business as

Locations

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1184157430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 MAIN ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105847",
            "telephone_number": "203-403-2525",
            "fax_number": "203-403-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 MAIN ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105847",
            "telephone_number": "203-403-2525",
            "fax_number": "203-403-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS DENTAL SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SUHO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-403-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "009091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tooth Fairy Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Khan, M.D.
• Salman H Khan, D.D.S.
• Samia Khan
• Karina Khawaja, SP. ED. TEACHER
• Uneza Rauf Khawaja, MD
• Eitan Kilchevsky, M.D.
• Christopher Kilkenny
• Patrick Edward Killeen, PA-C
• Yeahan Kim, MD
• Anna Adams Kimberly, DMD

• Pediatric Dentistry in Danbury, CT
• Providers in Danbury, CT by specialty
• Pediatric Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.