Organization Active NPI

Lasting Smiles of Saybrook, LLC

  • Public Health Dentistry
  • Old Saybrook, CT
National Provider Identifier
1952950735
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
LASTING SMILES OF SAYBROOK, LLC
Practice address
670 Boston Post Rd
Old Saybrook, CT 06475-1520
Phone
(860) 661-5163
Fax
(860) 388-9023
NPI assigned
Sep 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Authorized official

Name
Dr. Efrain A Socarras, DDS
Title
Dentist
Phone
(203) 400-2566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

670 Boston Post Rd
Old Saybrook, CT 06475-1520

Mailing address

670 Boston Post Rd
Old Saybrook, CT 06475-1520
Phone (860) 661-5163

Other identifiers 1

IdentifierTypeStateIssuer
1902931330MedicaidCT

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address drsocarras@pricelessdentalcare.com
Direct Messaging Address drsocarras@pricelessdentalcare.com

National Provider Directory

National Provider Directory

Locations

670 Boston Post Rd
Old Saybrook, CT 06475
Phone (860) 339-3776

NPI Registry JSON

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567641600000",
    "number": "1952950735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 BOSTON POST RD",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064751520",
            "telephone_number": "860-661-5163",
            "fax_number": "860-388-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 BOSTON POST RD",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064751520",
            "telephone_number": "860-661-5163",
            "fax_number": "860-388-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASTING SMILES OF SAYBROOK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A",
        "authorized_official_last_name": "SOCARRAS",
        "authorized_official_first_name": "EFRAIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "203-400-2566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902931330",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drsocarras@pricelessdentalcare.com",
            "affiliation": "N",
            "address_1": "670 Boston Post Rd",
            "city": "Old Saybrook",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064751520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drsocarras@pricelessdentalcare.com",
            "affiliation": "N",
            "address_1": "670 Boston Post Rd",
            "city": "Old Saybrook",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064751520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Old Saybrook, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.