Life Long Dental Care Of Colchester

LBN: Professional Dental Alliance Of Colchester, Pllc
Life Long Dental Care Of Colchester is an health care organization with primary practice located at 151 Broadway St , Colchester CT 06415-1056. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Professional Dental Alliance Of Colchester, Pllc can be contacted via phone (860) 537-1444, or through Matta, Andrew via phone (724) 698-2500.

Contact Information

Primary practice address
151 Broadway St Colchester CT 06415-1056
Phone: (860) 537-1444
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Matta, Andrew Doctor of Dental Medicine (DMD)
Phone: (724) 698-2500

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1780175208
LBN Legal business name Professional Dental Alliance Of Colchester, Pllc
DBA Doing business as Life Long Dental Care Of Colchester
Authorized official Matta, Andrew Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2018
Last updated May 21st, 2018 - about 6 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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