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BRIDGEPORT DENTIST
NPI 1154628477
Dentist - General Practice in Bridgeport, CT

Active since February 23, 2011
2992 MAIN ST, BRIDGEPORT, CT 06606(203) 873-0708 Get Directions Write a Review

NPPES record last updated: February 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bridgeport Dentist NPPES

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

BRIDGEPORT DENTIST (NPI 1154628477) is a healthcare organization registered as a general practice in Bridgeport, Connecticut and active in the NPI registry since February 2011. The organization lists Mira Yi, Director, as its authorized official.

NPPES Registry Identity

NPI1154628477
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBRIDGEPORT DENTIST
Location Address2992 MAIN STBridgeport, CT 06606-4226
Mailing Address2992 Main StBridgeport, CT 06606-4226 · (203) 873-0708
Phone(203) 873-0708
Organization SubpartNo
Authorized OfficialMira YiDirector · (203) 873-0708
Enumeration DateFebruary 23, 2011
✔ NPI 1154628477 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 · 010006
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.
2992 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

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

DR. HANJIN CHO D.D.S
Dentist (General Practice)
2992 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (917) 224-4984

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 Bridgeport Dentist's NPI number?

The NPI number for Bridgeport Dentist is 1154628477. It was assigned to this organization in the NPPES registry on February 23, 2011.

Where is Bridgeport Dentist located?

Bridgeport Dentist is located at 2992 Main St, Bridgeport, CT 06606. The listed phone number is (203) 873-0708.

What is Bridgeport Dentist'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 Bridgeport Dentist was last updated on February 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.