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SUPERB DENTAL AESTHETICS LLC NPI 1487900809


NPI Information

NPI: 1487900809
Provider Name: SUPERB DENTAL AESTHETICS LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
246 REEDS GAP ROAD
SUITE 3C
NORTHFORD, CT
ZIP 06472
Phone: (203) 484-4494
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SUPERB DENTAL AESTHETICS LLC is a general practice dentist in Northford, 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. SUPERB DENTAL AESTHETICS LLC NPI is 1487900809. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

246 REEDS GAP ROAD
SUITE 3C
NORTHFORD, CT
ZIP 06472
Phone: (203) 484-4494

The provider's authorized official is Efraim Augusto Socarras .
The authorized official title is President and has the following contact phone number (203) 400-2566.

The enumeration date for this NPI number is 8/3/2012 and was last updated on 8/3/2012.


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 Practice008729CONNECTICUTYes

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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