Organization · Type 2 NPI

Gorgeous Smiles Dental Southington

General Practice Dentistry · Southington, CT

NPI number 1831966936 Active

Practice location

775 Queen St
Southington, CT 06489-1531

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Another provider at this address

Samreen, LLCDental Clinic/Center Southington, CT NPI 1447763131

Other general practice dentistry providers in Southington

See all in Southington →

NPI record

NPI: 1831966936
Entity type: Organization (Type 2)
Issued: Dec 8, 2023
Last updated: Jan 9, 2024
Status: Active
Subpart: Yes of Gorgeous Smiles Southington

Other names

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Gorgeous Smiles Southington · doing business as
Samreen, LLC · former legal business name

Authorized official

Raymond Joseph Belisle, COO
Chief Operating Officer
(860) 978-3294

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1831966936

Gorgeous Smiles Dental Southington's National Provider Identifier is 1831966936, issued on Dec 8, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Southington, CT. The record was last updated on Jan 9, 2024.