Life Long Dental Care of Colchester LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LIFE LONG DENTAL CARE OF COLCHESTER LLC

Practice address

151 Broadway St
Colchester, CT 06415-1056

Phone

(860) 537-1444

NPI assigned

Apr 24, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jeremiah Long

Title

Owner

Phone

(860) 537-1444

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1164842506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 BROADWAY ST",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151056",
            "telephone_number": "860-537-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 BROADWAY ST",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151056",
            "telephone_number": "860-537-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LONG DENTAL CARE OF COLCHESTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-537-1444",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Lawrence
• Leah Morgan PSYD LLC
• Patricia Leheny, DC
• Eden Li, PHARMD
• Liberty Hall Nursing Center Inc (Apple Rehab Colchester)
• Barbara L Liguori, MS, LPC
• Anna Isabelle Limpias, LPN
• Kathi J Loto, PT
• Betsy Lukey O'Hayer, OTR/L
• Amy L Lyons, MOTR

• General Practice Dentistry in Colchester, CT
• Providers in Colchester, 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 Apr 24, 2014; 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.