Active NPI
Blooming Smile Dental PC
- Dentist
- Monroe, CT
National Provider Identifier
1619785870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- BLOOMING SMILE DENTAL PC
- Practice address
- 162 Purdy Hill Rd
Monroe, CT 06468-2115 - Phone
- (917) 603-0675
- NPI assigned
- Dec 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hee Soo Kim, DDS
- Title
- Owner
- Phone
- (203) 884-8887
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
162 Purdy Hill Rd
Monroe, CT 06468-2115
Mailing address
162 Purdy Hill Rd
Unit 2 and 3
Monroe, CT 06468-2115
National Provider Directory
National Provider DirectoryLocations
162 Purdy Hill Rd
Unit 2
Monroe, CT 06468
Phone (203) 884-8887
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Monroe, CT
- NPI 1720489149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746662400000",
"number": "1619785870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 PURDY HILL RD",
"address_2": "UNIT 2 AND 3",
"city": "MONROE",
"state": "CT",
"postal_code": "064682115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 PURDY HILL RD",
"city": "MONROE",
"state": "CT",
"postal_code": "064682115",
"telephone_number": "917-603-0675"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOOMING SMILE DENTAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-19",
"last_updated": "2025-05-08",
"certification_date": "2025-05-08",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "HEE SOO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-884-8887",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.