| A Shore Dental Llc | |
|
25 Stage Rd Old Saybrook CT 06475-4232 | |
| (860) 388-3845 | |
| (203) 528-4385 |
| Full Name | A Shore Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 25 Stage Rd, Old Saybrook, Connecticut |
| Authorized Official Name and Position | Efrain A Socarras (DENTISTRY PRACTITIONER) |
| Authorized Official Contact | 8603883845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Shore Dental Llc 25 Stage Rd Old Saybrook CT 06475-4232 Ph: (860) 388-3845 | A Shore Dental Llc 25 Stage Rd Old Saybrook CT 06475-4232 Ph: (860) 388-3845 |
| NPI Number | 1699213025 |
|---|---|
| Provider Enumeration Date | 02/06/2017 |
| Last Update Date | 02/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699213025 | NPI | - | NPPES |
| 1223G0001X | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8729 (Connecticut) | Primary |
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