Southport Smiles Dentistry, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SOUTHPORT SMILES DENTISTRY, P.C.

Practice address

8 John St
Southport, CT 06890-1437

Phone

(203) 319-1300

Fax

(203) 319-0893

NPI assigned

Oct 31, 2018

Last updated

Oct 31, 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

Dr. Alvyn Sin-Chun Yeoh, DDSNPI 1811203458

Title

President

Phone

(203) 319-1300

Specialties & licenses 2

Addresses

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.

• Alvyn Yeoh, DDS

  • General Practice Dentistry
  • Southport, CT
  • NPI 1811203458
  Authorized official Same address or phone

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540944000000",
    "number": "1205303856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 JOHN ST",
            "city": "SOUTHPORT",
            "state": "CT",
            "postal_code": "068901437",
            "telephone_number": "203-319-1300",
            "fax_number": "203-319-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 JOHN ST",
            "city": "SOUTHPORT",
            "state": "CT",
            "postal_code": "068901437",
            "telephone_number": "203-319-1300",
            "fax_number": "203-319-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHPORT SMILES DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A",
        "authorized_official_last_name": "YEOH",
        "authorized_official_first_name": "ALVYN",
        "authorized_official_middle_name": "SIN-CHUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-319-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda S Smith, PH.D.
• Joelle Smorada, LCSW
• Daniel William Snow, LCSW
• Sarah Sotomayor
• Southport Center for Nursing & Rehabilitation, LLC
• Southport Smiles P.C.
• Southport Surgery Center LLC
• David Spengler, OD
• Kristina Sullivan
• Lisa Adele Szymanski, LCSW

• General Practice Dentistry in Southport, CT
• Providers in Southport, 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 Oct 31, 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.