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JEAN M. LAFAYETTE LLC NPI 1366990889


NPI Information

NPI: 1366990889
Provider Name: JEAN M. LAFAYETTE, LLC

Doing Business As: DR. JEAN LAFAYETTE & DR. TINA LIANG

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1 NORTHWESTERN DR
SUITE 201
BLOOMFIELD, CT
ZIP 06002
Phone: (860) 242-0700
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JEAN M. LAFAYETTE, LLC is a general practice dentist in Bloomfield, CT. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. JEAN M. LAFAYETTE, LLC NPI is 1366990889. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dr. Jean Lafayette & Dr. Tina Liang.

The provider's business location address is:

1 NORTHWESTERN DR
SUITE 201
BLOOMFIELD, CT
ZIP 06002-400
Phone: (860) 242-0700
Fax: (860) 243-5681

The provider's authorized official is Angelina Blankschen .
The authorized official title is Office Manager and has the following contact phone number (860) 242-0700.

The enumeration date for this NPI number is 9/13/2016 and was last updated on 9/13/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice7394CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1007394OTHERCONNECTICUTSTATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH
2008946OTHERCONNECTICUTSTATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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