Superb Dental Aesthetics LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

008729 Issued in CT

Legal business name

SUPERB DENTAL AESTHETICS LLC

Practice address

246 Reeds Gap Road
Suite 3C
Northford, CT 06472

Phone

(203) 484-4494

NPI assigned

Aug 3, 2012

Organization subpart

No

Name

Dr. Efraim Augusto Socarras, DDS

Title

President

Phone

(203) 400-2566

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 3, 2012.

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1487900809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 REEDS GAP ROAD",
            "address_2": "SUITE 3C",
            "city": "NORTHFORD",
            "state": "CT",
            "postal_code": "06472",
            "telephone_number": "203-484-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 REEDS GAP ROAD",
            "address_2": "SUITE 3C",
            "city": "NORTHFORD",
            "state": "CT",
            "postal_code": "06472",
            "telephone_number": "203-484-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERB DENTAL AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "SOCARRAS",
        "authorized_official_first_name": "EFRAIM",
        "authorized_official_middle_name": "AUGUSTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-400-2566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "008729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter John Rothenberg, PH.D.
• Anthony Frank Salerno III
• Victor Raymond Sawicki Jr., MD
• Efrain Socarras, D.D.S
• Donn Charles Sottolano, PH.D., BCBA-D
• Town of North Branford
• Kelly Grace White, LMSW
• Whole Wellness Counseling, LLC

• All providers in Northford, CT
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.