LASTING SMILES OF PROSPECT; NPI #1639722671

Contact Information

LASTING SMILES OF PROSPECT

60 WATERBURY RD STE E
PROSPECT, CT 06712-1251

Phone: 203-527-3855
Fax: 203-528-4385
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Dental	261QD0000X

Indicates primary specialty

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NPI Profile & details for LASTING SMILES OF PROSPECT

NPI Number	`1639722671`
LBN Legal business name	LASTING SMILES OF PROSPECT
Authorized official	EFRAIN SOCARRAS - (DENTIST)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/18/2019
Last updated	07/18/2019 - About 7 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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