OrganizationActive
Advantage Dental Group, LLC
NPI 1568674331 · General Practice Dentistry · East Lyme, CT
Provider details
- NPI number
- 1568674331
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Authorized official
- Erin Van Lew, Office Manager
- License
- 7928 (CT)
Mailing address
339 Flanders Rd
East Lyme, CT 06333
Registry dates
- Enumerated
- 2007-05-04
- Last updated
- 2009-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.