BRIGHT DENTAL AT BRIDGEPORT PC NPI 1063786507

NPI Information

BRIGHT DENTAL AT BRIDGEPORT, 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. BRIGHT DENTAL AT BRIDGEPORT, PC NPI is 1063786507. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4575 MAIN ST
BRIDGEPORT, CT
ZIP 06606-818
Phone: (203) 371-6700

The provider's authorized official is Ranganayaki Chirumamilla .
The authorized official title is President and has the following contact phone number (214) 336-9767.

The enumeration date for this NPI number is 3/1/2012 and was last updated on 3/1/2012.

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:

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