Provider Demographics
NPI:1003147596
Name:RICHARD P. LASNIER DMD,PC
Entity type:Organization
Organization Name:RICHARD P. LASNIER DMD,PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:P
Authorized Official - Last Name:LASNIER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:860-289-4080
Mailing Address - Street 1:477 CONNECTICUT BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:EAST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06108-3268
Mailing Address - Country:US
Mailing Address - Phone:860-289-4080
Mailing Address - Fax:860-289-5400
Practice Address - Street 1:477 CONNECTICUT BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:EAST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06108-3268
Practice Address - Country:US
Practice Address - Phone:860-289-4080
Practice Address - Fax:860-289-5400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-22
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT72481223G0001X
CT57501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty