Phyll Lutzky Tross in Bridgeport - General Practice

Phyll Lutzky Tross - NPI 1588769426

Phyll Lutzky Tross is a General Practice in Bridgeport, Connecticut. Phyll Lutzky Tross practices all healthcare services and medical treatments related to General Practice. The NPI Number for Phyll Lutzky Tross is 1588769426. The last update date is 2007-07-09.

Phyll Lutzky Tross'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 Phyll Lutzky Tross is 468 Clinton Ave, Bridgeport, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Phyll Lutzky Tross
Address 468 Clinton Ave, Bridgeport, Connecticut
Phone Number 2033376266
Fax Number 2033376261
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1588769426
Provider Enumeration Date 2006-09-14
Last Updated Date 2007-07-09

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 7861
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
2078617 CT --

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FAQs about Phyll Lutzky Tross

What is the unique identification code assigned to Phyll Lutzky Tross by the Centers for Medicare & Medicaid Services?

The Phyll Lutzky Tross has been issued the NPI (National Provider Identifier) 1588769426. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Phyll Lutzky Tross is geographically located?

The Phyll Lutzky Tross is physically situated at the following location: 468 Clinton Ave, Bridgeport, CT, 66051713.

What is Phyll Lutzky Tross's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Phyll Lutzky Tross's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

When did Phyll Lutzky Tross receive its 1588769426 assignment?

The Phyll Lutzky Tross was assigned its 1588769426 on 2006-09-14, which is the date when this unique identifier was issued to the organization.

When was the information regarding Phyll Lutzky Tross, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Phyll Lutzky Tross, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.

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