Alan D Schupack DDS LLC
General Practice Dentistry · Wallingford, CT
Practice location
850 No Main Street ExtensionSuite 2b
Wallingford, CT 06492
- Phone
- (203) 269-4249
- Fax
- (203) 294-4444
NPI record
- NPI
- 1356492185
- Entity type
- Organization (Type 2)
- Enumeration date
- January 16, 2007
- Last updated
- August 22, 2020
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
6675 | CT |
Authorized official
- Name
- Mr. Alan David Schupack, DDS
- Title
- Manager
- Phone
- (203) 294-4444
Other names
- Alan D Schupack DDS
About Alan D Schupack DDS LLC
Alan D Schupack DDS LLC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 850 No Main Street Extension, Suite 2b, Wallingford, CT 06492. The NPI number 1356492185 was assigned on January 16, 2007 and the record was last updated on August 22, 2020.
Alan D Schupack DDS LLC lists a license in the registry: #6675 (CT) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Mr. Alan David Schupack, DDS, Manager.
Frequently asked questions
What is the NPI number of Alan D Schupack DDS LLC?
The NPI number is 1356492185.
What is the phone number of Alan D Schupack DDS LLC?
The phone number listed for the practice location is (203) 269-4249.
Where is Alan D Schupack DDS LLC located?
850 No Main Street Extension, Suite 2b, Wallingford, CT 06492.
What is the taxonomy code for Alan D Schupack DDS LLC?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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