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:
Map and Directions
Authorized official contact:
Name: Devries, Diane
Phone: (203) 873-0598

Health care specialties

SpecialtyCodeLicense #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 10 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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