Family Dental Group C.A.
LBN: Family Dental Group C.A.
Family Dental Group C.A. is an health care organization with primary practice located at 468 Clinton Ave , Bridgeport CT 06605-1713. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / Periodontics is the primary health care specialty.
Family Dental Group C.A. can be contacted via phone (203) 337-6266, or through Munk, Peter V via phone (203) 337-6266.
Contact Information
Primary practice address
468 Clinton Ave
Bridgeport CT 06605-1713
Phone: (203) 337-6266
Fax: (203) 337-6261
Website:
Authorized official contact:
Name: Munk, Peter V Doctor of Dental Surgery (DDS)
Phone: (203) 337-6266
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 006670 | Connecticut |
| Dental Providers / Periodontics | 1223P0300X |
Profile Details
| NPI number | 1700981602 |
|---|---|
| LBN Legal business name | Family Dental Group C.A. |
| DBA Doing business as | |
| Authorized official | Munk, Peter V Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Jun 12th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700981602 | NPPES |
| Connecticut | MEDICAID | 004163002 | |
| Connecticut | MEDICAID | 008008008 |
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