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NORTH END DENTAL ASSOCIATES, PC
NPI 1053705061
Dentist - General Practice in Bridgeport, CT

Active since March 27, 2015
4699 MAIN ST, SUITE 100, BRIDGEPORT, CT 06606(203) 372-4296(203) 372-4734 Get Directions Write a Review

NPPES record last updated: March 27, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About North End Dental Associates, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH END DENTAL ASSOCIATES, PC (NPI 1053705061) is a healthcare organization registered as a general practice in Bridgeport, Connecticut and active in the NPI registry since March 2015. The organization lists Amutha Raguram, Dentist, as its authorized official.

NPPES Registry Identity

NPI1053705061
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNORTH END DENTAL ASSOCIATES, PC
Location Address4699 MAIN ST, SUITE 100Bridgeport, CT 06606-1830
Mailing Address4699 Main St, Suite 100Bridgeport, CT 06606-1830 · (203) 372-4296 · Fax (203) 372-4734
Phone(203) 372-4296
Fax(203) 372-4734
Organization SubpartNo
Authorized OfficialAmutha RaguramDentist · (650) 576-8237
Enumeration DateMarch 27, 2015
✔ NPI 1053705061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CT · 10125
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.

4699 MAIN ST, Bridgeport, CT 06606
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRIMED LLC
Internal Medicine
4699 MAIN ST, SUITE 105 ATTN: MED3000
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 944-1940
CONNECTICUT DENTAL GRUOP, LLC
Dentist
4699 MAIN ST, SUITE 203
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 372-4200
DR. REUVEN RUDICH M.D
Ophthalmology
4699 MAIN ST, SUITE 202
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 374-6400
DR. KAROL JOSEPH CHACHO MD
Obstetrics & Gynecology (Reproductive Endocrinology)
4699 MAIN ST, SUITE 210
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 372-5282
DR. RICHARD M FREEDMAN M.D.
Pediatrics
4699 MAIN ST, SUITE 215
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 452-8322
HOLLY R BASHURA APRN
Nurse Practitioner (Family)
4699 MAIN ST, SUITE 105
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 374-6162
PRIMED, LLC
Podiatrist
4699 MAIN ST, SUITE 211
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 374-3464
DONALD JOSEPH ANNICELLE DDS
Dentist (General Practice)
4699 MAIN ST, SUITE 200
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 372-3726

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North End Dental Associates, PC's NPI number?

The NPI number for North End Dental Associates, PC is 1053705061. It was assigned to this organization in the NPPES registry on March 27, 2015.

Where is North End Dental Associates, PC located?

North End Dental Associates, PC is located at 4699 Main St Suite 100, Bridgeport, CT 06606. The listed phone number is (203) 372-4296.

What is North End Dental Associates, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for North End Dental Associates, PC was last updated on March 27, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.