Organization
UCONN HEALTH CENTER
Active
Organization
UCONN HEALTH CENTER
Active
Other names
School of Dental Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN G. LURIE DDS (PROFESSOR)
(860) 679-2453
Entity
Organization
Contact information
Practice address
263 FARMINGTON AVE, ORAL AND MAXILLOFACIAL RADIOLOGY MC 2110, FARMINGTON, CT 06030-0001
(860) 679-2453
(860) 679-2756
Mailing address
263 FARMINGTON AVE, ORAL AND MAXILLOFACIAL RADIOLOGY MC 2110, FARMINGTON, CT 06030-0001
(860) 679-2453
(860) 679-2756
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
004751
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2047513
—
CT
Enumeration date
10/14/2005
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up