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LAFAYETTE DENTAL GROUP PC NPI 1699811075


NPI Information

NPI: 1699811075
Provider Name: LAFAYETTE DENTAL GROUP, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
67 LAFAYETTE ST
NORWICH, CT
ZIP 06360
Phone: (860) 889-5213
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LAFAYETTE DENTAL GROUP, PC is a general practice dentist in Norwich, 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. LAFAYETTE DENTAL GROUP, PC NPI is 1699811075. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

67 LAFAYETTE ST
NORWICH, CT
ZIP 06360-407
Phone: (860) 889-5213
Fax: (860) 886-0100

The provider's authorized official is David S Richardson .
The authorized official title is President and has the following contact phone number (860) 889-5213.

The enumeration date for this NPI number is 1/30/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice9345CONNECTICUTNo
21223G0001XDentistGeneral Practice7568CONNECTICUTYes

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
1020007568CT03OTHERCONNECTICUTANTHEM BCBS CT
2020009345CT02OTHERCONNECTICUTANTHEM BCBS CT
3815896OTHERUNITED CONCORDIA
41548343858OTHERNPI NUMBER ISSUED
51651844OTHERUNITED CONCORDIA
61904629OTHERUNITED CONCORDIA

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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