A Shore Dental LLC
Dentist, General Practice in Old Saybrook, Connecticut
1699213025- Practice location
- 25 Stage RD, Old Saybrook, CT 06475-4232
- Phone
- 860-388-3845
- Fax
- 203-528-4385
- Last updated
- February 6, 2017
A Shore Dental LLC is a healthcare organization based in Old Saybrook, CT. A Shore Dental LLC practices in Old Saybrook, CT. The NPI Number for A Shore Dental LLC is 1699213025 and holds a License No. 8729 (CT). The current practice location address for A Shore Dental LLC is 25 Stage RD, Old Saybrook, CT 06475-4232 and can be reached out via phone at 860-388-3845 and via fax at 203-528-4385.
Provider Profile Details
- NPI Number
- 1699213025
- Provider Name
- A Shore Dental LLC
- Provider Entity Type
- Organization
- Address
- 25 Stage RD, Old Saybrook, CT 06475-4232
- Phone Number
- 860-388-3845
- Fax Number
- 203-528-4385
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Mr. Efrain A Socarras · Dentistry Practitioner · 860-388-3845
- Provider Enumeration Date
- February 6, 2017
- Last Update Date
- February 6, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25 Stage RD
Old Saybrook, CT 06475-4232 - City
- Old Saybrook
- State
- Connecticut
- Zip
- 06475-4232
- Phone Number
- 860-388-3845
- Fax Number
- 203-528-4385
Provider Business Mailing Address Details
- Address
- 25 Stage RD
Old Saybrook, CT 06475-4232 - City
- Old Saybrook
- State
- CT
- Zip
- 06475-4232
- Phone Number
- 860-388-3845
- Fax Number
- 203-528-4385
License Information
- License Number
- 8729
- License State
- CT
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 A Shore Dental LLC?
The NPI number of A Shore Dental LLC is 1699213025. It was assigned on February 6, 2017 and is currently active in the NPPES registry.
What is the specialty of A Shore Dental LLC?
A Shore Dental LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 8729.
Where does A Shore Dental LLC practice?
The practice location is 25 Stage RD, Old Saybrook, CT 06475-4232. The office can be reached at 860-388-3845 (phone) or 203-528-4385 (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 1699213025 directly on the NPPES registry website.