| Southport Smiles Dentistry, P.c. | |
|
8 John St Southport CT 06890-1437 | |
| (203) 319-1300 | |
| (203) 319-0893 |
| Full Name | Southport Smiles Dentistry, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8 John St, Southport, Connecticut |
| Authorized Official Name and Position | Alvyn Sin-chun Yeoh (PRESIDENT) |
| Authorized Official Contact | 2033191300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southport Smiles Dentistry, P.c. 8 John St Southport CT 06890-1437 Ph: (203) 319-1300 | Southport Smiles Dentistry, P.c. 8 John St Southport CT 06890-1437 Ph: (203) 319-1300 |
| NPI Number | 1205303856 |
|---|---|
| Provider Enumeration Date | 10/31/2018 |
| Last Update Date | 10/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205303856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Southport Smiles P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 John St, Southport, CT 06890 Phone: 203-319-1300 Fax: 203-319-0893 | |
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