Commerce Park Dental Group Llc in Bridgeport - Pediatric Dentistry
Commerce Park Dental Group Llc - NPI 1437234523
Commerce Park Dental Group Llc is a Pediatric Dentistry in Bridgeport, Connecticut. Commerce Park Dental Group Llc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Commerce Park Dental Group Llc is 1437234523. The last update date is 2020-08-22.
Commerce Park Dental Group Llc's current location address is 4702 Main St, Bridgeport, Connecticut. You can contact this provider via phone number 2033718282 and fax number 2033714229. The mailing address for Commerce Park Dental Group Llc is 4702 Main St, Bridgeport, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Commerce Park Dental Group Llc |
|---|---|
| Address | 4702 Main St, Bridgeport, Connecticut |
| Phone Number | 2033718282 |
| Fax Number | 2033714229 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Dinkes Lawrence |
| Credentials | DDS |
| Telephone Number | 2033718282 |
NPI Number Detail
| NPI Number | 1437234523 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4702 Main St |
|---|---|
| City | Bridgeport |
| State | Connecticut (CT) |
| Post Code | 66061823 |
| Phone Number | 2033718282 |
| Fax Number | 2033714229 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 5694 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Post Comment/ Review Below
What is the unique identifier code issued to Commerce Park Dental Group Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Commerce Park Dental Group Llc has been assigned the NPI (National Provider Identifier) 1437234523. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Commerce Park Dental Group Llc's facilities are situated?
The facilities of Commerce Park Dental Group Llc are physically located at the following address: 4702 Main St, Bridgeport, CT, 66061823.
What is Commerce Park Dental Group Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Commerce Park Dental Group Llc is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
When was the Commerce Park Dental Group Llc's 1437234523 issued?
The Commerce Park Dental Group Llc's 1437234523 was issued on 2006-10-26.
As of what date was the information regarding Commerce Park Dental Group Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Commerce Park Dental Group Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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