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Contact Information

A SHORE DENTAL LLC
25 STAGE RD
OLD SAYBROOK, CT06475-4232
 Phone: 860-388-3845
 Fax: 203-528-4385
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for A SHORE DENTAL LLC

NPI Number 1699213025
LBN Legal business name A SHORE DENTAL LLC
Authorized official EFRAIN SOCARRAS - (DENTISTRY PRACTITIONER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/06/2017
Last updated 02/06/2017 - About 9 years ago
Identifiers
CT License # 8729
CT Medicaid 1223G0001X
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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