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Sph Bridgeport, Llc
Oral and Maxillofacial Surgery (Dentist) in Bridgeport, Connecticut
NPI 1194193094

Sph Bridgeport, Llc is a Oral and Maxillofacial Surgery (Dentist) based in Bridgeport, CT and is specialized in Oral and Maxillofacial Surgery. Sph Bridgeport, Llc practices in Bridgeport, CT. The NPI Number for Sph Bridgeport, Llc is 1194193094 and holds a License No. (Connecticut).

The current practice location address for Sph Bridgeport, Llc is 161 Boston Ave, Bridgeport, CT and can be reached out via phone at 203-873-0598 and via fax at 203-873-0602.

Location: 161 Boston Ave, Bridgeport, CT, 06610-1662
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194193094
Provider Name
Sph Bridgeport, Llc
Credential
Provider Entity Type
Organization
Address
161 Boston Ave, Bridgeport, CT, 06610-1662
Phone Number
203-873-0598
Fax Number
203-873-0602
Provider Enumeration Date
09/09/2015
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
161 Boston Ave
City
Bridgeport
State
Connecticut
Zip
06610-1662
Phone Number
203-873-0598
Fax Number
203-873-0602
person
Provider Business Mailing Address Details
Address
161 Boston Ave
City
Bridgeport
State
Connecticut
Zip
06610-1662
Phone Number
203-873-0598
Fax Number
203-873-0602
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
()
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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