Tolland Dental Associates LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TOLLAND DENTAL ASSOCIATES LLC

Practice address

12 Goose LN
Tolland, CT 06084-3400

Phone

(860) 875-6269

NPI assigned

Dec 1, 2021

Organization subpart

No

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

Authorized official

Name

Sueyoung CHI, DDSNPI 1003109851

Title

Sole Member

Phone

(646) 645-1598

Specialties & licenses 1

Addresses

Practitioners 1

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

• Sueyoung CHI, D.D.S

  • General Practice Dentistry
  • Manchester, CT
  • NPI 1003109851
  NPD Authorized official

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1467110031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 FAIRWAY XING",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 GOOSE LN",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060843400",
            "telephone_number": "860-875-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOLLAND DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "CHI",
        "authorized_official_first_name": "SUEYOUNG",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "646-645-1598",
        "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": [],
    "other_names": []
}

• Through the Rain Counseling PLLC
• Tic, LLC
• Dana Marie Tiebout, CCC-SLP
• Tolland Board of Education
• Tolland County Pediatrics & Adolescent Medicine, LLC
• Tolland Eye Care LLC
• Tolland Family Chiropractic
• Tolland Family Dental, LLC
• Tolland Imaging Center, LLC
• Tolland Imaging Center, LLC

• General Practice Dentistry in Tolland, CT
• Providers in Tolland, 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 Dec 1, 2021; 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.