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General NPI Number Information
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NPI Number | 1295639730
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Entity Type | Organization
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Legal Business Name | BROOKFIELD DENTAL GROUP, PLLC
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 533 FEDERAL RD
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City | BROOKFIELD
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State | CT
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Zip | 06804-2017
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Country | US
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Telephone | 203-740-1014
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Fax |
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Provider Business Mailing Address
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Address Line | 25 N LEXINGTON AVE APT 1212
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City | WHITE PLAINS
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State | NY
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Zip | 10601-1760
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Country | US
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Telephone | 917-744-7129
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SUNG HYON HAN
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Credential | DMD
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Telephone | 917-744-7129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State | NULL
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