National Provider Identifier Database

LASTING SMILES OF PROSPECT
Dental


Contact Information

LASTING SMILES OF PROSPECT
60 WATERBURY RD STE E
PROSPECT, CT06712-1251
Phone: 203-527-3855
Fax: 203-528-4385
Website:
Specialty Taxonomy Code
* Dental 261QD0000X

* Indicates primary specialty

NPI Profile & details for LASTING SMILES OF PROSPECT

NPI Number 1639722671
Legal business name
LBN
LASTING SMILES OF PROSPECT
Authorized official EFRAIN SOCARRAS - (DENTIST)
Entity Organization
Organization subpart No
Enumeration date 07/18/2019
Last updated 07/18/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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