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Contact Information

LASTING SMILES OF SAYBROOK, LLC
670 BOSTON POST RD
OLD SAYBROOK, CT06475-1520
 Phone: 860-661-5163
 Fax: 860-388-9023
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for LASTING SMILES OF SAYBROOK LLC · (Female)

NPI Number 1952950735
Status Active
Credentials
Entity Individual
Enumeration date 09/05/2019
Last updated 09/05/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT Medicaid 1902931330
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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