Lodestar Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010653 Issued in CT

Legal business name

LODESTAR DENTAL LLC

Practice address

474 Foxon Blvd
New Haven, CT 06513-2329

Phone

(714) 334-5001

NPI assigned

Oct 5, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Ho R Chung, DDSNPI 1881979672

Title

Dentist

Phone

(714) 334-5001

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ho Ryun Chung, D.D.S

  • General Practice Dentistry
  • Milford, CT
  • NPI 1881979672
  NPD (past) Authorized official

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1962952606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 W MAIN ST",
            "address_2": "APT#205K",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064602562",
            "telephone_number": "714-334-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 FOXON BLVD",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065132329",
            "telephone_number": "714-334-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LODESTAR DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "HO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-334-5001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabitha Joy Lockhart, PA-C
• Steven Lockley, LADC
• Renato Locks, MD
• Danielle Renee Lockwood, PA-C
• Donovan Blair Lockwood, MD
• Christopher Lodi, LCSW
• Bobbi Jo Loflin, PHARM.D.
• Mitchell Logan Grant Logan
• Ross David Logan, MD
• Amed Antonio Logrono, MD

• General Practice Dentistry in New Haven, CT
• Providers in New Haven, 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 Oct 5, 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.