Northeast Dental Solutions LLC
Dental Hygienist in Bridgeport, Connecticut
1093034621- Practice location
- 56 Harriet St, First Floor, Bridgeport, CT 06608-2131
- Phone
- 203-338-0090
- Fax
- —
- Last updated
- May 21, 2010
Northeast Dental Solutions LLC is a healthcare organization based in Bridgeport, CT. Northeast Dental Solutions LLC practices in Bridgeport, CT. The NPI Number for Northeast Dental Solutions LLC is 1093034621 and holds a License No. 009777 (CT). The current practice location address for Northeast Dental Solutions LLC is 56 Harriet St, First Floor, Bridgeport, CT 06608-2131 and can be reached out via phone at 203-338-0090.
Provider Profile Details
- NPI Number
- 1093034621
- Provider Name
- Northeast Dental Solutions LLC
- Provider Entity Type
- Organization
- Address
- 56 Harriet St, First Floor, Bridgeport, CT 06608-2131
- Phone Number
- 203-338-0090
- Primary Taxonomy
- Dental Hygienist · 124Q00000X
- Organization Subpart
- No
- Authorized Official
- Mr. Clive B. Rusell · Part Owner/Manager · 203-338-0090
- Provider Enumeration Date
- May 21, 2010
- Last Update Date
- May 21, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 56 Harriet St
First Floor
Bridgeport, CT 06608-2131 - City
- Bridgeport
- State
- Connecticut
- Zip
- 06608-2131
- Phone Number
- 203-338-0090
Provider Business Mailing Address Details
- Address
- 56 Harriet St
First Floor
Bridgeport, CT 06608-2131 - City
- Bridgeport
- State
- CT
- Zip
- 06608-2131
- Phone Number
- 203-338-0090
License Information
- License Number (1)
- 009777
- License State (1)
- CT
- Taxonomy (1)
- Dentist · 122300000X
- License Number (2)
- 006295
- License State (2)
- CT
- Taxonomy (2)
- Dental Hygienist · 124Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Northeast Dental Solutions LLC?
The NPI number of Northeast Dental Solutions LLC is 1093034621. It was assigned on May 21, 2010 and is currently active in the NPPES registry.
What is the specialty of Northeast Dental Solutions LLC?
Northeast Dental Solutions LLC is registered under the primary taxonomy Dental Hygienist (code 124Q00000X), licensed in CT under license number 009777.
Where does Northeast Dental Solutions LLC practice?
The practice location is 56 Harriet St, First Floor, Bridgeport, CT 06608-2131. The office can be reached at 203-338-0090 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093034621 directly on the NPPES registry website.