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SPH3ENTERPRISE, LLC
NPI 1053727479
Dentist - Pediatric Dentistry in Manchester, CT

Active since July 07, 2014
194 BUCKLAND HILLS DRIVE, MANCHESTER, CT 06042(860) 644-0099(860) 644-0109 Get Directions Write a Review

NPPES record last updated: July 7, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sph3enterprise, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPH3ENTERPRISE, LLC (NPI 1053727479) is a healthcare organization registered as a pediatric dentistry in Manchester, Connecticut and active in the NPI registry since July 2014. The organization lists Andre Lavoie, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1053727479
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSPH3ENTERPRISE, LLC
Location Address194 BUCKLAND HILLS DRIVEManchester, CT 06042
Mailing Address194 Buckland Hills DrManchester, CT 06042-8705 · (860) 644-0099 · Fax (860) 644-0109
Phone(860) 644-0099
Fax(860) 644-0109
Organization SubpartNo
Authorized OfficialAndre LavoieOffice Manager · (860) 644-0099
Enumeration DateJuly 7, 2014
✔ NPI 1053727479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CT · 010954
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

194 BUCKLAND HILLS DRIVE, Manchester, CT 06042
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Other Identifiers 2

Medicaid1467611632CT
Medicaid1972893352CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sph3enterprise, LLC's NPI number?

The NPI number for Sph3enterprise, LLC is 1053727479. It was assigned to this organization in the NPPES registry on July 7, 2014.

Where is Sph3enterprise, LLC located?

Sph3enterprise, LLC is located at 194 Buckland Hills Drive, Manchester, CT 06042. The listed phone number is (860) 644-0099.

What is Sph3enterprise, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Sph3enterprise, LLC was last updated on July 7, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.