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NORTH END DENTAL ASSOCIATES PC NPI 1053705061


NPI Information

NPI: 1053705061
Provider Name: NORTH END DENTAL ASSOCIATES, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4699 MAIN ST
SUITE 100
BRIDGEPORT, CT
ZIP 06606
Phone: (203) 372-4296
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NORTH END DENTAL ASSOCIATES, PC is a general practice dentist in Bridgeport, CT. The provider is 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. NORTH END DENTAL ASSOCIATES, PC NPI is 1053705061. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4699 MAIN ST
SUITE 100
BRIDGEPORT, CT
ZIP 06606-830
Phone: (203) 372-4296
Fax: (203) 372-4734

The provider's authorized official is Amutha Raguram .
The authorized official title is Dentist and has the following contact phone number (650) 576-8237.

The enumeration date for this NPI number is 3/27/2015 and was last updated on 3/27/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice10125CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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