| Hi Dental Care Llc | |
|
598 W Main St Unit 3 Norwich CT 06360-5342 | |
| (917) 334-3544 | |
| Not Available |
| Full Name | Hi Dental Care Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 598 W Main St, Norwich, Connecticut |
| Authorized Official Name and Position | Youngchul Kim (OWNER) |
| Authorized Official Contact | 9173343544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hi Dental Care Llc 32 Upper Pattagansett Rd Unit 30 East Lyme CT 06333-1147 Ph: (917) 334-3544 | Hi Dental Care Llc 598 W Main St Unit 3 Norwich CT 06360-5342 Ph: (917) 334-3544 |
| NPI Number | 1437526357 |
|---|---|
| Provider Enumeration Date | 08/26/2015 |
| Last Update Date | 10/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437526357 | NPI | - | NPPES |
| 1235445354 | Medicaid | CT | |
| 1629384987 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 010809 (Connecticut) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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