LASTING SMILES OF SAYBROOK, LLC (NPI# 1952950735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952950735 |
| Entity Type | Organization |
| Organization Name | LASTING SMILES OF SAYBROOK, LLC |
| Practice Address |
670 Boston Post Rd Old Saybrook CT 06475-1520 |
| Practice Telephone | 8606615163 |
| Practice Fax Number | 8603889023 |
| Mailing Telephone | 8606615163 |
| Mailing Fax Number | 8603889023 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |
| Authorized Official Name | DR. EFRAIN A SOCARRAS (DENTIST) |
| Authorized Official Telephone | 2034002566 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1902931330 | 05 |
| Street Address |
670 BOSTON POST RD |
| City | OLD SAYBROOK |
| State | CT |
| Zip Code | 06475-1520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912464223 | Kathleen Malcolm | Physical Medicine & Rehabilitation | Apple Rehab Saybrook, 1775 Boston Post Rd, Old Saybrook, CT 06475 | 2019-02-22 |
| 1841661469 | Laura M. Shires, Lcsw, LLC | Social Worker | 24 Ledge Road, Old Saybrook, CT 06475 | 2015-10-08 |
| 1316323397 | Robyn Reilly | Nurse Practitioner | 1687 Rte 1, Old Saybrook, CT 06475 | 2015-08-03 |
| 1679858542 | Brandi Taylor | Counselor | 263 Main St., Suite 301, Old Saybrook, CT 06475 | 2011-10-11 |
| 1346545670 | Lucille Wymer Hartman | Mechanotherapist | 1775 Boston Post Road, Old Saybrook, CT 06475 | 2011-01-18 |
| 1508160631 | Whole Health Wellness, LLC | Clinic/Center | 139 Mill Rock Rd E Unit 1522, Old Saybrook, CT 06475 | 2011-01-04 |
| 1184948481 | Maria S. Foss-rand | Counselor | 251 Main St., Suite 100, Old Seybrook, CT 06475 | 2010-03-16 |
| 1467658161 | Rick Morant Dmd Ms LLC | Dentist | 1358 Boston Post Rd, Suite 2, Old Saybrook, CT 06475 | 2007-06-21 |
| 1174724801 | Richard P Benoit Dmd PC | Dentist | 123 Elm Street, Suite 1300, Old Saybrook, CT 06475 | 2007-05-30 |
| 1194932392 | Omotayo Elizabeth Awujoola | Nurse Practitioner | 20 Research Parkway, Old Saybrook, CT 06475 | 2007-05-17 |
| Find all providers in zip 06475 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124387444 | Richard P. Benoit | Dentist | 123 Elm St, Suite # 900, Old Saybrook, CT 06475-4108 | 2012-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700044542 | Kevin Allan Hall | Dentist | 1841 Broad St, Hartford, CT 06114-1780 | 2008-05-29 |
| 1689695587 | Diana D Hede | Dentist | 860 Main St, Health Srvcs, Hartford, CT 06103 | 2006-07-23 |
| 1225006240 | Michael Ernest Korale | Dentist | Uscg Academy, Health Services Divison, 15 Mohegan Ave, New London, CT 06320-4195 | 2006-03-08 |
| 1548236045 | Charles C Truncale | Dentist | Uscg Academy, Michel Hall, 15 Mohegan Avenue, New London, CT 06030-3906 | 2006-02-24 |
| 1811997893 | Marie C Faynor | Dentist | 42 W Purchase Rd, Southbury, CT 06488-1002 | 2005-07-29 |
| 1811486483 | Jared Jacobskind | Dentist | 238c Tolland Tpke, Manchester, CT 06042-5702 | 2018-05-09 |
| 1376950758 | Mikhail Y Tsesis | Dentist | 202 Pomfret St, Putnam, CT 06260-1833 | 2014-07-17 |
| 1760722201 | Ralph Giuliano | Dentist | 120 Clapboard Ridge Rd, Suite 101, Danbury, CT 06811-3625 | 2013-02-20 |
| 1598041154 | Dr Dental of Norwalk PC | Dentist | 360 Connecticut Ave, Norwalk, CT 06854-1824 | 2011-10-27 |
| 1518117589 | Sulakshana Sundaresan | Dentist | 60 Church Street, Yalesville, CT 06492 | 2008-09-25 |
| Find all providers with the same taxonomy | ||||
| City | OLD SAYBROOK |
| Zip Code | 06475 |
Please comment or provide details below to improve the information on LASTING SMILES OF SAYBROOK, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.