Bridgeport Family Dental Group
LBN: Sph Enterprise Llc
Bridgeport Family Dental Group is an health care organization with primary practice located at 161 Boston Ave , Bridgeport CT 06610-1662. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / General Practice is the primary health care specialty.
Sph Enterprise Llc can be contacted via phone (203) 873-0598, or through Devries, Diane via phone (203) 873-0598.
Contact Information
Primary practice address
161 Boston Ave
Bridgeport CT 06610-1662
Phone: (203) 873-0598
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 009785 | Connecticut |
| Dental Providers / General Practice | 1223G0001X | 009846 | Connecticut |
| Dental Providers / General Practice | 1223G0001X | 009920 | Connecticut |
| Dental Providers / Pediatric Dentistry | 1223P0221X | ||
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 010946 | Connecticut |
Profile Details
| NPI number | 1609199074 |
|---|---|
| LBN Legal business name | Sph Enterprise Llc |
| DBA Doing business as | Bridgeport Family Dental Group |
| Authorized official | Devries, Diane |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 12th, 2010 |
| Last updated | May 8th, 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.
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