Jewish Home For The Elderly Dental Group

LBN: Jewish Home For The Elderly Of Fairfield County Incorporated
Jewish Home For The Elderly Dental Group is an health care organization with primary practice located at 4200 Park Ave , Bridgeport CT 06604. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Jewish Home For The Elderly Of Fairfield County Incorporated can be contacted via phone (203) 396-1075, or through Robinson, Sheila via phone (203) 396-1075.

Contact Information

Primary practice address
4200 Park Ave Bridgeport CT 06604
Phone: (203) 396-1075
Fax: (203) 396-1108
Website:
Map and Directions
Authorized official contact:
Name: Robinson, Sheila
Phone: (203) 396-1075

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1710191366
LBN Legal business name Jewish Home For The Elderly Of Fairfield County Incorporated
DBA Doing business as Jewish Home For The Elderly Dental Group
Authorized official Robinson, Sheila
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2007
Last updated Feb 19th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710191366 NPPES
Connecticut MEDICAID 004197051

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