Provider Demographics
NPI:1326587783
Name:HELLO DENTAL LLC
Entity Type:Organization
Organization Name:HELLO DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:YOO JIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:347-563-5530
Mailing Address - Street 1:237 CEDAR LN
Mailing Address - Street 2:
Mailing Address - City:CLOSTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07624-1138
Mailing Address - Country:US
Mailing Address - Phone:203-536-5922
Mailing Address - Fax:
Practice Address - Street 1:90 FAIRFIELD AVE
Practice Address - Street 2:GROUND LEVEL
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-5021
Practice Address - Country:US
Practice Address - Phone:203-536-5922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-18
Last Update Date:2017-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT11353261QD0000X
CT11350261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental