1. Home
  2. Directory
  3. Connecticut
  4. Old Saybrook
  5. Dentist
  6. NPI Profile

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

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: July 19, 2026.

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
Open in Google Maps ↗

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

Reviews for LIFE LONG DENTAL CARE OF OLD SAYBROOK

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

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

What is PROFESSIONAL DENTAL ALLIANCE OF OLD SAYBROOK, PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1235620774, enumerated as an "organization" on May 21, 2018.

Where is the provider located?

The provider is located at 711 BOSTON POST RD OLD SAYBROOK, CT 06475 and the phone number is (860) 388-0242.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.