Healthcare Provider Details

I. General information

NPI: 1376459735
Provider Name (Legal Business Name): SYNAPTICDC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

690 STROUDWATER ST UNIT 1
WESTBROOK ME
04092-4949
US

IV. Provider business mailing address

690 STROUDWATER ST UNIT 1
WESTBROOK ME
04092-4949
US

V. Phone/Fax

Practice location:
  • Phone: 207-591-0384
  • Fax: 207-591-0385
Mailing address:
  • Phone: 207-591-0384
  • Fax: 207-591-0385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREA SMITH
Title or Position: OWNER
Credential: DC
Phone: 207-591-0384