OLD LYME DENTAL ASSOCIATES LLC (NPI# 1942443726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942443726 |
| Entity Type | Organization |
| Organization Name | OLD LYME DENTAL ASSOCIATES LLC |
| Practice Address |
19 Halls Rd Suite 218 Old Lyme CT 06371-1457 |
| Mailing Address |
Po Box 551 Old Lyme CT 06371-0551 |
| Practice Telephone | 8604347378 |
| Practice Fax Number | 8604347537 |
| Mailing Telephone | 8604347378 |
| Mailing Fax Number | 8604347537 |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2009-04-09 |
| Authorized Official Name | JEFFREY B LAMURA (DENTIST/OWNER) |
| Authorized Official Telephone | 8604347378 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
9618 | CT | Ambulatory Health Care Facilities |
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
9080 | CT | Ambulatory Health Care Facilities |
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
9037 | CT | Ambulatory Health Care Facilities |
| Street Address |
19 HALLS RD SUITE 218 |
| City | OLD LYME |
| State | CT |
| Zip Code | 06371-1457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255435558 | Terrence A Doherty | Family Medicine | 19 Halls Rd, Old Lyme, CT 06371-1457 | 2006-09-08 |
| 1568993046 | Michelle M Gienau, Lcsw, LLC | Social Worker | 19 Halls Rd, # 234, Old Lyme, CT 06371-1457 | 2017-03-25 |
| 1275991028 | Robert Dean | Psychologist | 19 Halls Rd, #234, Old Lyme, CT 06371-1457 | 2016-02-08 |
| 1841693074 | Transcendere, LLC | Clinic/Center | 19 Halls Rd, Suite 234, Old Lyme, CT 06371-1457 | 2014-10-02 |
| 1437599750 | Constance Macleod Hunter | Occupational Therapist | 19 Halls Rd, Suite 204, Old Lyme, CT 06371-1457 | 2013-07-01 |
| 1639517162 | Michelle Kathryn Deyorio | Occupational Therapist | 19 Halls Rd, Old Lyme, CT 06371-1457 | 2013-06-06 |
| 1285071928 | Megan E Grills | Occupational Therapist | 19 Halls Rd, Suite 204, Old Lyme, CT 06371-1457 | 2013-06-03 |
| 1497018147 | Integrative Family Health & Wellness, LLC | Naturopath | 19 Halls Rd, Suite 208, Old Lyme, CT 06371-1457 | 2012-06-18 |
| 1558628040 | Laura A Munro | Naturopath | 19 Halls Rd, Suite 208, Old Lyme, CT 06371-1457 | 2012-04-20 |
| 1699047662 | Melissa Ann Knowlton | Physical Therapist | 19 Halls Rd, Suite 201, Old Lyme, CT 06371-1457 | 2012-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134761877 | Sabine Odonnell LLC | Marriage & Family Therapist | 80 Halls Rd, Old Lyme, CT 06371 | 2019-10-15 |
| 1619487162 | Emily Chung | Pharmacist | 42 Browns Ln, Old Lyme, CT 06371 | 2017-10-10 |
| 1659822088 | Mona Saleh Hassan | Nurse Practitioner | Medoptions, 55 Hatchetts Hill Road, Old Lyme, Ct, CT 06371 | 2016-10-20 |
| 1740653278 | New England Pa LLC | Physician Assistant | 5 Davis Road East, Old Lyme, CT 06371 | 2015-11-05 |
| 1932586682 | Northeast Plastic Surgery Center LLC | Surgery | 5-1 Davis Road West, Suite 3, Old Lyme, CT 06371 | 2015-05-01 |
| 1285956987 | Karl R. Friedmann | Family Medicine | 40 Coult Lane, Old Lyme, CT 06371 | 2010-02-22 |
| 1285844977 | Cary L. Walker | Social Worker | 6 Town Street, Lyme, CT 06371 | 2007-05-23 |
| 1578784765 | Lynne Zimmerman | Psychologist | 16 Library Ln, Old Lyme, CT 06371 | 2007-05-02 |
| 1588784375 | Jan Fitzgerald Briscoe | Marriage & Family Therapist | 81 Halls Rd Unit C, Old Lyme, CT 06371 | 2007-03-29 |
| 1588702583 | Karl M Goldkamp | Naturopath | 81 Halls Road, Old Lyme, CT 06371 | 2007-02-02 |
| Find all providers in zip 06371 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674728 | North Main Dental Group LLC | Clinic/Center | 225 N Main St Ste 210, Bristol, CT 06010-4993 | 2020-09-22 |
| 1790397776 | Best Way Dental Services, LLC | Clinic/Center | 886 Main St Ste B, Willimantic, CT 06226-2340 | 2020-08-20 |
| 1194357418 | Bolton Lake Dental LLC | Clinic/Center | 1120 Boston Tpke, Bolton, CT 06043-7439 | 2020-02-05 |
| 1124669924 | Dental Essentials of Rocky Hill | Clinic/Center | 2301 Silas Deane Hwy # 2, Rocky Hill, CT 06067-2330 | 2019-10-02 |
| 1730736216 | Pearl Dental of Trumbull, Pllc | Clinic/Center | 140 Monroe Tpke Unit C, Trumbull, CT 06611-1357 | 2019-08-20 |
| 1134774953 | Ezra Friedman Dds | Clinic/Center | 464 Wolcott Rd Ste 2, Wolcott, CT 06716-2626 | 2019-08-08 |
| 1790343051 | Madison Dental Spa | Clinic/Center | 90 Wall St Ste 100, Madison, CT 06443-3128 | 2019-06-03 |
| 1730644212 | Resolute Cross Road LLC | Clinic/Center | 112 Cross Rd, Waterford, CT 06385-1204 | 2019-02-08 |
| 1861966954 | James S Bauer Dmd Incorporated | Clinic/Center | 40 Main St N Ste E, Woodbury, CT 06798-2966 | 2019-01-11 |
| 1821568650 | Parkway Dental Np LLC | Clinic/Center | 1869 Dixwell Ave Ste 4, Hamden, CT 06514-3145 | 2018-12-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on OLD LYME DENTAL ASSOCIATES LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.