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Tee-pee Dentistry P.c.
General Practice Dentistry in Bridgeport, Connecticut
NPI 1770935710

Tee-pee Dentistry P.c. is a General Practice Dentistry based in Bridgeport, CT and is specialized in General Practice. Tee-pee Dentistry P.c. practices in Bridgeport, CT. The NPI Number for Tee-pee Dentistry P.c. is 1770935710 and holds a License No. 10779 (Connecticut).

The current practice location address for Tee-pee Dentistry P.c. is 468 Clinton Ave, Bridgeport, CT and can be reached out via phone at 203-337-6266 and via fax at 203-337-6261.

Location: 468 Clinton Ave, Bridgeport, CT, 06605-1713
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770935710
Provider Name
Tee-pee Dentistry P.c.
Credential
Provider Entity Type
Organization
Address
468 Clinton Ave, Bridgeport, CT, 06605-1713
Phone Number
203-337-6266
Fax Number
203-337-6261
Provider Enumeration Date
07/01/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010779 01 CT STATE LICENSE
008041327 05 CT
institution
Provider Business Practice Location Address Details
Address
468 Clinton Ave
City
Bridgeport
State
Connecticut
Zip
06605-1713
Phone Number
203-337-6266
Fax Number
203-337-6261
person
Provider Business Mailing Address Details
Address
468 Clinton Ave
City
Bridgeport
State
Connecticut
Zip
06605-1713
Phone Number
203-337-6266
Fax Number
203-337-6261
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Dentist Anesthesiologist
Taxonomy
1223D0004X
License No.
010779 (Connecticut)
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
10779 (Connecticut)
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.
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