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LIFE LONG DENTAL CARE OF COLCHESTER
NPI 1780175208
Dentist - General Practice in Colchester, CT

Active since May 21, 2018
151 BROADWAY ST, COLCHESTER, CT 06415(860) 537-1444 Get Directions Write a Review

NPPES record last updated: May 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Life Long Dental Care Of Colchester NPPES

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

LIFE LONG DENTAL CARE OF COLCHESTER (NPI 1780175208) is a healthcare organization registered as a general practice in Colchester, Connecticut and active in the NPI registry since May 2018. The organization lists Andrew Matta, Cmo/owner, as its authorized official.

NPPES Registry Identity

NPI1780175208
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePROFESSIONAL DENTAL ALLIANCE OF COLCHESTER, PLLC
Location Address151 BROADWAY STColchester, CT 06415-1056
Mailing Address11 S Mill St Ste 200New Castle, PA 16101-3680 · (724) 698-2500 · Fax (724) 652-4619
Phone(860) 537-1444
Organization SubpartNo
Authorized OfficialAndrew MattaCmo/owner · (724) 698-2500
Enumeration DateMay 21, 2018
✔ NPI 1780175208 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.
151 BROADWAY ST, Colchester, CT 06415
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Other Names 1

Doing Business AsLife Long Dental Care Of Colchester

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 4

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

LIFE LONG DENTAL CARE OF COLCHESTER LLC
Dentist (General Practice)
151 BROADWAY ST
COLCHESTER, CT 06415
Southeastern Connecticut Planning Region (860) 537-1444
DR STEVEN C LAKES DMD
Dentist (General Practice)
151 BROADWAY ST
COLCHESTER, CT 06415
Southeastern Connecticut Planning Region (860) 537-1444
DR. KELLY LAUREN GRIFFITH DDS
Dentist (General Practice)
151 BROADWAY ST
COLCHESTER, CT 06415
Southeastern Connecticut Planning Region (860) 537-1444
DR. RICARDO ALBERTO CUEVAS D.D.S.
Dentist (General Practice)
151 BROADWAY ST
COLCHESTER, CT 06415
Southeastern Connecticut Planning Region (860) 537-1444

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 Colchester, PLLC's NPI number?

The NPI number for Professional Dental Alliance Of Colchester, PLLC is 1780175208. 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 Colchester.

Where is Professional Dental Alliance Of Colchester, PLLC located?

Professional Dental Alliance Of Colchester, PLLC is located at 151 Broadway St, Colchester, CT 06415. The listed phone number is (860) 537-1444.

What is Professional Dental Alliance Of Colchester, 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 Colchester, 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.