Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deep River Family Dental PLLC

Organization General Practice Dentistry · NPI 1548002496

Deep River Family Dental PLLC provides General Practice Dentistry in Deep River, Connecticut. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

199 Main St
Deep River, CT 06417-2021
Phone: (860) 526-9519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1548002496
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Soonho Kwon — Owner/Dentist · (860) 526-9519
NPI enumeratedJune 11, 2024
Last updated in NPPESJune 11, 2024
Certification dateJune 11, 2024
Mailing address199 Main St, Deep River, CT 06417-2021

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