| Bridgeport Dental, Llc | |
|
633 Clinton Ave Bridgeport CT 06605-1711 | |
| (203) 384-2261 | |
| (203) 366-4094 |
| Full Name | Bridgeport Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 633 Clinton Ave, Bridgeport, Connecticut |
| Authorized Official Name and Position | Michael J. Caserta (OWNER) |
| Authorized Official Contact | 2033842261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeport Dental, Llc 633 Clinton Ave Bridgeport CT 06605-1711 Ph: (203) 384-2261 | Bridgeport Dental, Llc 633 Clinton Ave Bridgeport CT 06605-1711 Ph: (203) 384-2261 |
| NPI Number | 1245403187 |
|---|---|
| Provider Enumeration Date | 04/11/2008 |
| Last Update Date | 04/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245403187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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