NPIMap

Organization Active NPI

White Dental, LLC

  • General Practice Dentistry
  • East Hartford, CT
National Provider Identifier
1326306945
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
009410 Issued in CT
Legal business name
WHITE DENTAL, LLC
Practice address
800 Silver Lane
Suite#222
East Hartford, CT 06118-1233
Phone
(860) 263-7791
Fax
(860) 216-0316
NPI assigned
May 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Authorized official

Name
Dr. Hyun-Won Shin, D.D.S.
Title
Dentist
Phone
(860) 263-7791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 009410 CT Primary

Addresses

Primary practice location

800 Silver Lane
Suite#222
East Hartford, CT 06118-1233

Mailing address

800 Silver Lane
Suite#222
East Hartford, CT 06118-1233
Phone (860) 263-7791

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1326306945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SILVER LANE",
            "address_2": "SUITE#222",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061181233",
            "telephone_number": "860-263-7791",
            "fax_number": "860-216-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SILVER LANE",
            "address_2": "SUITE#222",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061181233",
            "telephone_number": "860-263-7791",
            "fax_number": "860-216-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "HYUN-WON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "860-263-7791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "009410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.