Healthcare Provider Details

I. General information

NPI: 1558618025
Provider Name (Legal Business Name): PRICELESS DENTAL CARE P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2012
Last Update Date: 10/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 WATERBURY RD STE E
PROSPECT CT
06712-1251
US

IV. Provider business mailing address

60 WATERBORY ROAD, SUITE E
PROSPECT CT
06712
US

V. Phone/Fax

Practice location:
  • Phone: 203-527-3855
  • Fax: 203-538-4385
Mailing address:
  • Phone: 203-527-3855
  • Fax: 203-538-4385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State

VIII. Authorized Official

Name: DR. EFRAIN AUGUSTO SOCARRAS
Title or Position: PRESIDENT
Credential: DDS
Phone: 203-400-2566