A Shore Dental Llc

LBN: A Shore Dental Llc
A Shore Dental Llc is an health care organization with primary practice located at 25 Stage Rd , Old Saybrook CT 06475-4232. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. A Shore Dental Llc can be contacted via phone (860) 388-3845, or through Socarras, Efrain A via phone (860) 388-3845.

Contact Information

Primary practice address
25 Stage Rd Old Saybrook CT 06475-4232
Phone: (860) 388-3845
Fax: (203) 528-4385
Website:
Map and Directions
Authorized official contact:
Name: Socarras, Efrain A
Phone: (860) 388-3845

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8729 Connecticut

Profile Details

NPI number 1699213025
LBN Legal business name A Shore Dental Llc
DBA Doing business as
Authorized official Socarras, Efrain A
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2017
Last updated Feb 6th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699213025 NPPES
Connecticut MEDICAID 1223G0001X

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