North Avenue Advanced Dental Center
LBN: North Avenue Advanced Dental Center
North Avenue Advanced Dental Center is an health care organization with primary practice located at 2260 North Ave , Bridgeport CT 06604-2413. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / General Practice is the primary health care specialty.
North Avenue Advanced Dental Center can be contacted via phone (203) 853-2732, or through Brea, Luis M via phone (203) 853-2732.
Contact Information
Primary practice address
2260 North Ave
Bridgeport CT 06604-2413
Phone: (203) 853-2732
Fax: (203) 612-9781
Website:
Authorized official contact:
Name: Brea, Luis M Doctor of Dental Surgery (DDS)
Phone: (203) 853-2732
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | ||
Dental Providers / Periodontics | 1223P0300X |
Profile Details
NPI number | 1780930263 |
---|---|
LBN Legal business name | North Avenue Advanced Dental Center |
DBA Doing business as | |
Authorized official | Brea, Luis M Doctor of Dental Surgery (DDS) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 2nd, 2012 |
Last updated | Aug 2nd, 2012 - about 12 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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