C&S Family Dental Waterbury, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11234 Issued in CT

Legal business name

C&S FAMILY DENTAL WATERBURY, LLC

Practice address

1630 Watertown Ave
Waterbury, CT 06708

Phone

(475) 689-3170

Fax

(475) 689-3190

NPI assigned

Feb 15, 2018

Organization subpart

No

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

Authorized official

Name

Bohun Choi, DDS

Title

Dentist

Phone

(860) 293-2000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518652800000",
    "number": "1306346457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 WATERTOWN AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06708",
            "telephone_number": "475-689-3170",
            "fax_number": "475-689-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 WATERTOWN AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06708",
            "telephone_number": "475-689-3170",
            "fax_number": "475-689-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C&S FAMILY DENTAL WATERBURY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "BOHUN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "860-293-2000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "11234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette A Burton, AU.D.
• Glenna Butler
• Muhammad Danish Butt, MD
• Taylor Buzinsky, RDN
• Ellen Byars
• Eudocia Antonia Cabello, M.D.
• Barbara Cable, LCSW
• Dennis Caffrey, MD
• Rebecca G Calabrese, LCSW
• Quennie Lynn Tabaranza Calago, PT

• General Practice Dentistry in Waterbury, CT
• Providers in Waterbury, 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 15, 2018; 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.