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CONNECTICUT DENTAL GRUOP, LLC
NPI 1083847172
Dentist in Bridgeport, CT

Active since August 24, 2009
4699 MAIN ST, SUITE 203, BRIDGEPORT, CT 06606(203) 372-4200(203) 372-2376 Get Directions Write a Review

NPPES record last updated: August 24, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Connecticut Dental Gruop, Llc NPPES

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

CONNECTICUT DENTAL GRUOP, LLC (NPI 1083847172) is a healthcare organization registered as a dentist in Bridgeport, Connecticut and active in the NPI registry since August 2009. The organization lists Mehran Azar, Member, as its authorized official.

NPPES Registry Identity

NPI1083847172
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCONNECTICUT DENTAL GRUOP, LLC
Location Address4699 MAIN ST, SUITE 203Bridgeport, CT 06606-1830
Mailing Address4699 Main St, Suite 203Bridgeport, CT 06606-1830 · (203) 372-4200 · Fax (203) 372-2376
Phone(203) 372-4200
Fax(203) 372-2376
Organization SubpartNo
Authorized OfficialMehran AzarMember · (203) 372-4200
Enumeration DateAugust 24, 2009
✔ NPI 1083847172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CT · 08681
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4699 MAIN ST, Bridgeport, CT 06606
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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
NORTH END DENTAL ASSOCIATES, PC
Dentist (General Practice)
4699 MAIN ST, SUITE 100
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 372-4296
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 Connecticut Dental Gruop, LLC's NPI number?

The NPI number for Connecticut Dental Gruop, LLC is 1083847172. It was assigned to this organization in the NPPES registry on August 24, 2009.

Where is Connecticut Dental Gruop, LLC located?

Connecticut Dental Gruop, LLC is located at 4699 Main St Suite 203, Bridgeport, CT 06606. The listed phone number is (203) 372-4200.

What is Connecticut Dental Gruop, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Connecticut Dental Gruop, LLC was last updated on August 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.