Bridgeport Dental, Llc in Bridgeport - General Practice
Bridgeport Dental, Llc - NPI 1245403187
Bridgeport Dental, Llc is a General Practice in Bridgeport, Connecticut. Bridgeport Dental, Llc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bridgeport Dental, Llc is 1245403187. The last update date is 2008-04-11.
Bridgeport Dental, Llc's current location address is 633 Clinton Ave, Bridgeport, Connecticut. You can contact this provider via phone number 2033842261 and fax number 2033664094. The mailing address for Bridgeport Dental, Llc is 633 Clinton Ave, Bridgeport, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bridgeport Dental, Llc |
|---|---|
| Address | 633 Clinton Ave, Bridgeport, Connecticut |
| Phone Number | 2033842261 |
| Fax Number | 2033664094 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Caserta J. Michael |
| Credentials | DMD |
| Telephone Number | 2033842261 |
NPI Number Detail
| NPI Number | 1245403187 |
|---|---|
| Provider Enumeration Date | 2008-04-11 |
| Last Updated Date | 2008-04-11 |
Provider Mailing Address Detail
| Address | 633 Clinton Ave |
|---|---|
| City | Bridgeport |
| State | Connecticut (CT) |
| Post Code | 66051711 |
| Phone Number | 2033842261 |
| Fax Number | 2033664094 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the Bridgeport Dental, Llc's unique identification number?
The Bridgeport Dental, Llc has been assigned the NPI (National Provider Identifier) Number 1245403187 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Bridgeport Dental, Llc?
The Bridgeport Dental, Llc is situated at 633 Clinton Ave, in the city of Bridgeport, state of CT, with the zip code 66051711.
What is Bridgeport Dental, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bridgeport Dental, Llc's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1245403187 to Bridgeport Dental, Llc?
The Centers for Medicare & Medicaid Services assigned the 1245403187 to Bridgeport Dental, Llc on 2008-04-11.
As of what date were the details pertaining to Bridgeport Dental, Llc last refreshed?
The information related to the Bridgeport Dental, Llc, including its address, specialty, and other relevant details, was last updated on 2008-04-11.
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