LIFE LONG DENTAL CARE OF OLD SAYBROOK
NPI 1235620774
Dentist - General Practice in Old Saybrook, CT

Q: What is Professional Dental Alliance Of Old Saybrook, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since May 21, 2018

711 BOSTON POST RD, OLD SAYBROOK, CT 06475(860) 388-0242 Get Directions Write a Review

NPPES record last updated: May 21, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Life Long Dental Care Of Old Saybrook NPPES

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

LIFE LONG DENTAL CARE OF OLD SAYBROOK (NPI 1235620774) is a healthcare organization registered as a general practice in Old Saybrook, Connecticut and active in the NPI registry since May 2018. The organization lists Andrew Matta, Cmo/owner, as its authorized official.

NPPES Registry Identity

NPI1235620774

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NamePROFESSIONAL DENTAL ALLIANCE OF OLD SAYBROOK, PLLC

Location Address711 BOSTON POST RDOld Saybrook, CT 06475-2125

Mailing Address11 S Mill St Ste 200New Castle, PA 16101-3680 · (724) 698-2500 · Fax (724) 652-4619

Phone(860) 388-0242

Organization SubpartNo

Authorized OfficialAndrew MattaCmo/owner · (724) 698-2500

Enumeration DateMay 21, 2018

✔ NPI 1235620774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

711 BOSTON POST RD, Old Saybrook, CT 06475

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Other Names 1

Doing Business AsLife Long Dental Care Of Old Saybrook

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RILEY GONNET

Dentist

711 BOSTON POST RD
OLD SAYBROOK, CT 06475

Lower Connecticut River Valley Planning Region (860) 388-0242

ARTEM MATATOV

Dentist (General Practice)

711 BOSTON POST RD
OLD SAYBROOK, CT 06475

Lower Connecticut River Valley Planning Region (860) 388-0242

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 Professional Dental Alliance Of Old Saybrook, PLLC's NPI number?

The NPI number for Professional Dental Alliance Of Old Saybrook, PLLC is 1235620774. It was assigned to this organization in the NPPES registry on May 21, 2018. The provider is doing business as Life Long Dental Care Of Old Saybrook.

Where is Professional Dental Alliance Of Old Saybrook, PLLC located?

Professional Dental Alliance Of Old Saybrook, PLLC is located at 711 Boston Post Rd, Old Saybrook, CT 06475. The listed phone number is (860) 388-0242.

What is Professional Dental Alliance Of Old Saybrook, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Professional Dental Alliance Of Old Saybrook, PLLC was last updated on May 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.