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LASTING SMILES OF SAYBROOK LLC NPI 1952950735


NPI Information

NPI: 1952950735
Provider Name: LASTING SMILES OF SAYBROOK, LLC
Classification: Dentist - 1223D0001X
Entity Type: Organization

Specialization: Dental Public Health

Address:
670 BOSTON POST RD
OLD SAYBROOK, CT
ZIP 06475
Phone: (860) 661-5163
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LASTING SMILES OF SAYBROOK, LLC is a dental public health dentist in Old Saybrook, CT. The provider is the science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. LASTING SMILES OF SAYBROOK, LLC NPI is 1952950735. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

670 BOSTON POST RD
OLD SAYBROOK, CT
ZIP 06475-520
Phone: (860) 661-5163
Fax: (860) 388-9023

The provider's authorized official is Efrain A Socarras .
The authorized official title is Dentist and has the following contact phone number (203) 400-2566.

The enumeration date for this NPI number is 9/5/2019 and was last updated on 9/5/2019.


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
11223D0001XDentistDental Public HealthYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11902931330MEDICAIDCONNECTICUT

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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