Active NPIOrganization

Lakeview Dental PLLC

Dentist, General Practice in Wolcott, Connecticut

NPI Number1790569465
Practice location
1681 Meriden RD, Wolcott, CT 06716-3322
Fax
—
Last updated
August 23, 2023

Lakeview Dental PLLC is a healthcare organization based in Wolcott, CT. Lakeview Dental PLLC practices in Wolcott, CT. The NPI Number for Lakeview Dental PLLC is 1790569465. The current practice location address for Lakeview Dental PLLC is 1681 Meriden RD, Wolcott, CT 06716-3322 and can be reached out via phone at 203-633-7178.

Provider Profile Details

NPI Number
1790569465
Provider Name
Lakeview Dental PLLC
Provider Entity Type
Organization
Address
1681 Meriden RD, Wolcott, CT 06716-3322
Phone Number
203-633-7178
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Carlos Degollado, DDS · Owner Dentist · 860-679-3749
Other Names
Lakeview Dental (Former Legal Business Name)
Provider Enumeration Date
August 23, 2023
Last Update Date
August 23, 2023
Certification Date
August 21, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1681 Meriden RD
Wolcott, CT 06716-3322
Zip
06716-3322
Phone Number
203-633-7178
Wolcott, CT 06716Get directions →

Provider Business Mailing Address Details

Address
1681 Meriden RD
Wolcott, CT 06716-3322
City
Wolcott
State
CT
Zip
06716-3322
Phone Number
203-633-7178

License Information

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 Lakeview Dental PLLC?

The NPI number of Lakeview Dental PLLC is 1790569465. It was assigned on August 23, 2023 and is currently active in the NPPES registry.

What is the specialty of Lakeview Dental PLLC?

Lakeview Dental PLLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).

Where does Lakeview Dental PLLC practice?

The practice location is 1681 Meriden RD, Wolcott, CT 06716-3322. The office can be reached at 203-633-7178 (phone).

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 1790569465 directly on the NPPES registry website.

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