Tooth Fairy Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

9091 Issued in CT

Legal business name

TOOTH FAIRY PEDIATRIC DENTISTRY

Practice address

35 Copps Hill Rd
Suite 6
Ridgefield, CT 06877-4041

Phone

(203) 403-2525

Fax

(203) 403-2545

NPI assigned

Feb 26, 2009

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

Owner

Phone

(203) 403-2525

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1609016963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 COPPS HILL RD",
            "address_2": "SUITE 6",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774041",
            "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": "35 COPPS HILL RD",
            "address_2": "SUITE 6",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774041",
            "telephone_number": "203-403-2525",
            "fax_number": "203-403-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOTH FAIRY PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-26",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SUHO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-403-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "9091",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "9135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvette Tola Thompson, PSY.D.
• Thrive Nutrition of CT, LLC
• Thrive Psychotherapy, LLC
• Holli Erin Tierno, PHARMD
• Ma. Concepcion Tomasetti
• Alessandra Tornatore, BCBA
• Town of Ridgefield
• Raymond Tran, PHARMD
• Marisol Troche, MS.ED, LPC
• Simon M Trutt, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.