SPH ENTERPRISE LLC NPI 1609199074

NPI Information

SPH ENTERPRISE LLC 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. SPH ENTERPRISE LLC NPI is 1609199074. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bridgeport Family Dental Group.

The provider's business location address is:

161 BOSTON AVE
BRIDGEPORT, CT
ZIP 06610-662
Phone: (203) 873-0598

The provider's authorized official is Diane Devries .
The authorized official title is Business Manager and has the following contact phone number (203) 873-0598.

The enumeration date for this NPI number is 3/12/2010 and was last updated on 5/8/2014.

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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