Family Dental Group C.A. in Bridgeport - General Practice

Family Dental Group C.A. - NPI 1700981602

Family Dental Group C.A. is a General Practice in Bridgeport, Connecticut. Family Dental Group C.A. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Family Dental Group C.A. is 1700981602. The last update date is 2014-06-12.

Family Dental Group C.A.'s current location address is 468 Clinton Ave, Bridgeport, Connecticut. You can contact this provider via phone number 2033376266 and fax number 2033376261. The mailing address for Family Dental Group C.A. is 468 Clinton Ave, Bridgeport, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Organization Family Dental Group C.A.
Address 468 Clinton Ave, Bridgeport, Connecticut
Phone Number 2033376266
Fax Number 2033376261
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTIST/PA
Authorized Official Name Munk V Peter
Credentials DDS
Telephone Number 2033376266

NPI Number Detail

NPI Number 1700981602
Provider Enumeration Date 2006-09-14
Last Updated Date 2014-06-12

Provider Mailing Address Detail

Address 468 Clinton Ave
City Bridgeport
State Connecticut (CT)
Post Code 66051713
Phone Number 2033376266
Fax Number 2033376261

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 6670
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4163002 CT --
8008008 CT --

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FAQs about Family Dental Group C.A.

What is the unique 10-digit identifier code issued to Family Dental Group C.A. by the Centers for Medicare & Medicaid Services?

The Family Dental Group C.A. has been assigned the NPI (National Provider Identifier) 1700981602 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Family Dental Group C.A. is physically located?

The Family Dental Group C.A. is physically situated at the following address: 468 Clinton Ave, Bridgeport, CT, 66051713.

What is Family Dental Group C.A.'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 Family Dental Group C.A. is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date did Family Dental Group C.A. receive its 1700981602 assignment from the Centers for Medicare & Medicaid Services?

The Family Dental Group C.A. was assigned its 1700981602 on 2006-09-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Family Dental Group C.A.'s information last updated?

The Family Dental Group C.A.'s information was last updated on 2014-06-12.

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