Advantage Dental Group, LLC
Organization Active NPI General Practice Dentistry · East Lyme, CT
NPI 1568674331 · NPPES record last updated Sep 25, 2009
Key facts
- NPI
- 1568674331
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 7928 (CT)
- Legal business name
- ADVANTAGE DENTAL GROUP, LLC
- Practice address
- 339 Flanders Rd
Suite 105
East Lyme, CT 06333 - Phone
- (860) 691-0025
- NPI assigned
- May 4, 2007
- Organization subpart
- No
Authorized official
- Name
- Erin R Van Lew
- Title
- Office Manager
- Phone
- (860) 691-0025
Corporate family (same tax ID) 2
Practitioners 3
-
Archana Karanki, DMD
-
Sajjad A Khan, BDS, DDS
National Provider Directory
- Tax ID family
- Advantage Dental Group LLC
Locations
339 Flanders Rd
Ste 105
East Lyme, CT 06333
Phone (860) 691-0025
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 7928 | CT | Yes |
Addresses
Primary practice location
339 Flanders Rd
Suite 105
East Lyme, CT 06333
Mailing address
339 Flanders Rd
Suite 105
East Lyme, CT 06333
Phone (860) 691-0025
Other providers in East Lyme, CT
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- Richard C Albrecht
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- Alisa Amendola
- Glorimar Anderson
- Mary Ellen Andrews
All providers in East Lyme, CT · General Practice Dentistry in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.