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ALAN D SCHUPACK DDS LLC NPI 1356492185


NPI Information

NPI: 1356492185
Provider Name: ALAN D SCHUPACK DDS LLC

Former Legal Business Name: ALAN D SCHUPACK DDS

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
850 NO MAIN STREET EXTENSION
SUITE 2B
WALLINGFORD, CT
ZIP 06492
Phone: (203) 269-4249
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ALAN D SCHUPACK DDS LLC is a general practice dentist in Wallingford, 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. ALAN D SCHUPACK DDS LLC NPI is 1356492185. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Alan D Schupack Dds.

The provider's business location address is:

850 NO MAIN STREET EXTENSION
SUITE 2B
WALLINGFORD, CT
ZIP 06492
Phone: (203) 269-4249
Fax: (203) 294-4444

The provider's authorized official is Alan David Schupack .
The authorized official title is Manager and has the following contact phone number (203) 294-4444.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 8/22/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice6675CONNECTICUTYes

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: 5/5/2024

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