Professional Dental Alliance of Milford, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PROFESSIONAL DENTAL ALLIANCE OF MILFORD, PLLC

Doing business as

Life Long Dental Care of Milford

Practice address

42 Cherry St
Milford, CT 06460-3413

Phone

(203) 878-4757

NPI assigned

May 21, 2018

Last updated

May 21, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrew Matta, DMD

Title

Cmo/Owner

Phone

(724) 698-2500

Specialties & licenses 1

Addresses

Other names 1

• Life Long Dental Care of Milford Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard C Lee, DDS

  • General Practice Dentistry
  • Milford, CT
  • NPI 1487132320
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526860800000",
    "number": "1134610660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 S MILL ST STE 200",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161013680",
            "telephone_number": "724-698-2500",
            "fax_number": "724-652-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 CHERRY ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603413",
            "telephone_number": "203-878-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL DENTAL ALLIANCE OF MILFORD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A",
        "authorized_official_last_name": "MATTA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CMO/OWNER",
        "authorized_official_telephone_number": "724-698-2500",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Long Dental Care of Milford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diane M Prior, L.C.S.W.
• Private Practice of Adrian Rodriguez Targa LCSW
• Proactive Health Care Management,LLC
• Joanna Celeste Procaccini, PSY.D., NCSP
• Sara Grace Procopio, LMSW
• Professional Eyecare Associates, LLC
• Professional Psychotherapy Associates of Milford LLC
• Prolete Physical Therapy & Sports Medicine PC
• Christine Proulx
• Alexandra A Prutting, RDN

• General Practice Dentistry in Milford, CT
• Providers in Milford, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.