Connecticut Family Dental, Inc

LBN: Connecticut Family Dental, Inc
Connecticut Family Dental, Inc is an health care organization with primary practice located at 3885 Main St Suite 101, Bridgeport CT 06606-2814. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is the primary health care specialty. Connecticut Family Dental, Inc can be contacted via phone (203) 663-2772, or through Mendes, Jackson via phone (203) 663-2772.

Contact Information

Primary practice address
3885 Main St Suite 101 Bridgeport CT 06606-2814
Phone: (203) 663-2772
Fax: (203) 275-8595
Website:
Map and Directions
Authorized official contact:
Name: Mendes, Jackson
Phone: (203) 663-2772

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 008314 Connecticut
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 10567 Connecticut

Profile Details

NPI number 1750696399
LBN Legal business name Connecticut Family Dental, Inc
DBA Doing business as
Authorized official Mendes, Jackson
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2010
Last updated May 9th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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