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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

NPI # 1952950735
LBN Legal business name LASTING SMILES OF SAYBROOK, LLC
Authorized official EFRAIN SOCARRAS - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 09/05/2019
Last updated 09/05/2019 - About 7 years ago
Identifiers
CT Medicaid 1902931330
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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