Active NPIOrganization

Old Lyme Dental Associates LLC

Clinic/Center, Dental in Old Lyme, Connecticut

NPI Number1942443726
Practice location
19 Halls RD, Suite 218, Old Lyme, CT 06371-1457
Fax
860-434-7537
Last updated
April 9, 2009

Old Lyme Dental Associates LLC is a healthcare organization based in Old Lyme, CT. Old Lyme Dental Associates LLC practices in Old Lyme, CT. The NPI Number for Old Lyme Dental Associates LLC is 1942443726 and holds a License No. 9618 (CT). The current practice location address for Old Lyme Dental Associates LLC is 19 Halls RD, Suite 218, Old Lyme, CT 06371-1457 and can be reached out via phone at 860-434-7378 and via fax at 860-434-7537.

Provider Profile Details

NPI Number
1942443726
Provider Name
Old Lyme Dental Associates LLC
Provider Entity Type
Organization
Address
19 Halls RD, Suite 218, Old Lyme, CT 06371-1457
Phone Number
860-434-7378
Fax Number
860-434-7537
Primary Taxonomy
Clinic/Center, Dental · 261QD0000X
Organization Subpart
No
Authorized Official
Jeffrey B Lamura, DDS · Dentist/Owner · 860-434-7378
Provider Enumeration Date
April 9, 2009
Last Update Date
April 9, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 Halls RD
Suite 218
Old Lyme, CT 06371-1457
Zip
06371-1457
Phone Number
860-434-7378
Fax Number
860-434-7537
Old Lyme, CT 06371Get directions →

Provider Business Mailing Address Details

Address
Po Box 551
Old Lyme, CT 06371-0551
City
Old Lyme
State
CT
Zip
06371-0551
Phone Number
860-434-7378
Fax Number
860-434-7537

License Information

License Number (1)
9618
License State (1)
CT
Taxonomy (1)
Clinic/Center, Dental · 261QD0000X
License Number (2)
9080
License State (2)
CT
Taxonomy (2)
Clinic/Center, Dental · 261QD0000X
License Number (3)
9037
License State (3)
CT
Taxonomy (3)
Clinic/Center, Dental · 261QD0000X · 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 Old Lyme Dental Associates LLC?

The NPI number of Old Lyme Dental Associates LLC is 1942443726. It was assigned on April 9, 2009 and is currently active in the NPPES registry.

What is the specialty of Old Lyme Dental Associates LLC?

Old Lyme Dental Associates LLC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X), licensed in CT under license number 9618.

Where does Old Lyme Dental Associates LLC practice?

The practice location is 19 Halls RD, Suite 218, Old Lyme, CT 06371-1457. The office can be reached at 860-434-7378 (phone) or 860-434-7537 (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 1942443726 directly on the NPPES registry website.

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