Gary Alan Lachance, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6465 Issued in CT

Practice address

337 Notch Hill Rd
North Branford, CT 06471-1826

Phone

(203) 488-6343

Fax

(203) 488-6185

NPI assigned

Mar 30, 2007

Last updated

Jun 5, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 29, 2015 through May 29, 2027

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Branford Dental Group PC

  • General Practice Dentistry
  • North Branford, CT
  • NPI 1013037308
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1972623338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193",
            "city": "NORTH BRANFORD",
            "state": "CT",
            "postal_code": "064710193",
            "telephone_number": "203-488-6343",
            "fax_number": "203-488-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 NOTCH HILL RD",
            "city": "NORTH BRANFORD",
            "state": "CT",
            "postal_code": "064711826",
            "telephone_number": "203-488-6343",
            "fax_number": "203-488-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACHANCE",
        "first_name": "GARY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "6465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawna Holzer, LCSW
• Hannah Isacson, DC
• Suzanne Ivie, D.C.
• Kos Chiropractic Center DC PC
• Jacquelyn Lisa Kos, DC
• Daniel Landino, SLP
• Melinda L Lazarus, LCSW
• Jhennelle Lee, DNP, APRN, PMHNP-BC
• Linda J Lisk, C.N.M.
• Helen Lope de Haro, MD

• General Practice Dentistry in North Branford, CT
• Providers in North Branford, 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 Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.