COMMERCE PARK DENTAL GROUP LLC NPI 1437234523

NPI Information

COMMERCE PARK DENTAL GROUP LLC is a pediatric dentistry dentist in Bridgeport, CT. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. COMMERCE PARK DENTAL GROUP LLC NPI is 1437234523. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Commerce Park Children's Dentistry And Orthodontics.

The provider's business location address is:

4702 MAIN ST
BRIDGEPORT, CT
ZIP 06606-823
Phone: (203) 371-8282
Fax: (203) 371-4229

The provider's authorized official is Lawrence Dinkes .
The authorized official title is Dentist and has the following contact phone number (203) 371-8282.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 8/22/2020.

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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