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Contact Information

ALAN D SCHUPACK DDS LLC
850 NO MAIN STREET EXTENSION
SUITE 2B
WALLINGFORD, CT06492
 Phone: 203-269-4249
 Fax: 203-294-4444
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ALAN D SCHUPACK DDS LLC

NPI # 1356492185
LBN Legal business name ALAN D SCHUPACK DDS LLC
Authorized official ALAN SCHUPACK - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/16/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
CT License # 6675
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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