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SOUTHPORT SMILES DENTISTRY P.C. NPI 1205303856


NPI Information

NPI: 1205303856
Provider Name: SOUTHPORT SMILES DENTISTRY, P.C.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
8 JOHN ST
SOUTHPORT, CT
ZIP 06890
Phone: (203) 319-1300
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SOUTHPORT SMILES DENTISTRY, P.C. is a general practice dentist in Southport, 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. SOUTHPORT SMILES DENTISTRY, P.C. NPI is 1205303856. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8 JOHN ST
SOUTHPORT, CT
ZIP 06890-437
Phone: (203) 319-1300
Fax: (203) 319-0893

The provider's authorized official is Alvyn Sin-chun Yeoh .
The authorized official title is President and has the following contact phone number (203) 319-1300.

The enumeration date for this NPI number is 10/31/2018 and was last updated on 10/31/2018.


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
11223P0221XDentistPediatric DentistryNo
21223G0001XDentistGeneral PracticeYes

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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