# GREAT EXPRESSIONS DENTAL CENTERS OF CONNECTICUT, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GREAT EXPRESSIONS DENTAL CENTERS
- **Other names:** Great Expressions Dental Centers
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1700922671
- **Legal business name:** GREAT EXPRESSIONS DENTAL CENTERS
- **Authorized official:** RICHARD E BECKMAN (CEO)
- **Authorized official phone:** (248) 203-1100

## Contact information

- **Practice address:** 300 E LONG LAKE RD, STE 311, BLOOMFIELD HILLS, MI 48304
- **Practice address phone:** (248) 203-1100
- **Practice address fax:** (248) 203-1112
- **Mailing address:** 300 E LONG LAKE RD, STE 311, BLOOMFIELD HILLS, MI 48304
- **Mailing address phone:** (248) 203-1100
- **Mailing address fax:** (248) 203-1112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223P0300X | Periodontics | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 05/07/2015