Gentlecare Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010785 Issued in CT

Legal business name

GENTLECARE DENTAL, LLC

Practice address

683 Farmington Ave
Store #23
Bristol, CT 06010-3974

Phone

(201) 314-7211

NPI assigned

Feb 3, 2016

Organization subpart

No

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

Authorized official

Name

Jihun Han, D.D.S.

Title

Owner

Phone

(201) 314-7211

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1346608494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 FARMINGTON AVE",
            "address_2": "STORE #23",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060103974",
            "telephone_number": "201-314-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 FARMINGTON AVE",
            "address_2": "STORE #23",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060103974",
            "telephone_number": "201-314-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLECARE DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "JIHUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-314-7211",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Bristol, CT
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• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.