Magicland Pediatric Dental Llc is a Pediatric Dental Clinic in Waterbury, Connecticut. It is located at 815 Wolcott St, Waterbury, CT and its contact number is 860-282-0630. The authorized person for Magicland Pediatric Dental Llc is Dr. Chia Hui Jenny Kwon
who is Member of the clinic and their contact number is 917-453-4055. The primary license number for Magicland Pediatric Dental Llc is 010110 (Pediatric Dentistry) in Connecticut. Magicland Pediatric Dental Llc Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Magicland Pediatric Dental Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Chia Hui Jenny Kwon
Position:
Member
Contact Number:
917-453-4055
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Magicland Pediatric Dental Llc clinic are as mentioned below.
NPI Number:
1033622246
NPI Enumeration Date:
09 Nov, 2017
NPI Last Update On:
09 Nov, 2017
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Magicland Pediatric Dental Llc are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
010110
Connecticut
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
008004605
Medicaid
Connecticut
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Magicland Pediatric Dental Llc 1011 Main St, East Hartford, Connecticut
Zip:
06108-2294
Phone Number:
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Patients can reach Magicland Pediatric Dental Llc at 815 Wolcott St, Waterbury, Connecticut or can call to book an appointment on 860-282-0630. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.