Active NPIIndividual provider

Peter G Lacy, DMD

Dentist, General Practice in Uncasville, Connecticut

NPI Number1174845150
Practice location
907 Route 32, Uncasville, CT 06382-1917
Fax
860-848-8844
Last updated
February 18, 2010

Peter G. Lacy is a Dentist, General Practice based in Uncasville, CT. Peter G. Lacy practices in Uncasville, CT and has the professional credentials of DMD. The NPI Number for Peter G. Lacy is 1174845150 and holds a License No. 005485 (CT). The current practice location address for Peter G. Lacy is 907 Route 32, Uncasville, CT 06382-1917 and can be reached out via phone at 860-848-2215 and via fax at 860-848-8844.

Provider Profile Details

NPI Number
1174845150
Provider Name
Peter G. Lacy
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
907 Route 32, Uncasville, CT 06382-1917
Phone Number
860-848-2215
Fax Number
860-848-8844
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
February 18, 2010
Last Update Date
February 18, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
907 Route 32
Uncasville, CT 06382-1917
Zip
06382-1917
Phone Number
860-848-2215
Fax Number
860-848-8844
Uncasville, CT 06382Get directions →

Provider Business Mailing Address Details

Address
Po Box 465
Uncasville, CT 06382-0465
City
Uncasville
State
CT
Zip
06382-0465
Phone Number
860-848-2215
Fax Number
860-848-8844

License Information

License Number
005485
License State
CT
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Peter G Lacy, DMD?

The NPI number of Peter G Lacy, DMD is 1174845150. It was assigned on February 18, 2010 and is currently active in the NPPES registry.

What is the specialty of Peter G Lacy, DMD?

Peter G Lacy, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 005485.

Where does Peter G Lacy, DMD practice?

The practice location is 907 Route 32, Uncasville, CT 06382-1917. The office can be reached at 860-848-2215 (phone) or 860-848-8844 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174845150 directly on the NPPES registry website.

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