EAST LYME FAMILY & COSMETIC DENTISTRY
NPI 1689070989
Preferred Provider Organization in East Lyme, CT
- Organization
- Preferred Provider Organization
About EAST LYME FAMILY & COSMETIC DENTISTRY
This page provides the complete NPI Profile along with additional information for East Lyme Family & Cosmetic Dentistry, a provider established in East Lyme, Connecticut operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1689070989 assigned on November 2014. The practitioner's primary taxonomy code is 305R00000X with license number 008671 (CT). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as East Lyme Family & Cosmetic Dentistry. The authorized official of this NPI record is Mrs. Trasielyn Ademi (Office Manager)
- NPI
- 1689070989 Verify this NPI
- Provider Legal Name
- SAM-CAR LLC
- Other Organization Name
- EAST LYME FAMILY & COSMETIC DENTISTRY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 15 CHURCH LN EAST LYME, CT 06333
- Location Phone
- (860) 739-3447
- Location Fax
- (860) 739-4679
- Mailing Address
- 15 CHURCH LN EAST LYME, CT 06333
- Mailing Phone
- (860) 739-3447
- Mailing Fax
- (860) 739-4679
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-13-2014
- Last Update Date
- 11-13-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Preferred Provider Organization
- Taxonomy Code
- 305R00000X
- Type
- Managed Care Organizations
- License No.
- 008671
- License State
- CT
- Taxonomy Description
- A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 305R00000X | Managed Care Organizations | Preferred Provider Organization | 008452 (CT) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689070989, enumerated as an "organization" on November 13, 2014.
The provider is located at 15 CHURCH LN EAST LYME, CT 06333 and the phone number is (860) 739-3447.
Preferred Provider Organization with taxonomy code 305R00000X.
