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SPH BRIDGEPORT, LLC
NPI 1194193094
Dentist - General Practice in Bridgeport, CT

Active since September 09, 2015
161 BOSTON AVE, BRIDGEPORT, CT 06610(203) 873-0598(203) 873-0602 Get Directions Write a Review

NPPES record last updated: September 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sph Bridgeport, Llc NPPES

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

SPH BRIDGEPORT, LLC (NPI 1194193094) is a healthcare organization registered as a general practice in Bridgeport, Connecticut and active in the NPI registry since September 2015. The organization lists Kigons Song, Owner, as its authorized official.

NPPES Registry Identity

NPI1194193094
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSPH BRIDGEPORT, LLC
Location Address161 BOSTON AVEBridgeport, CT 06610-1662
Mailing Address161 Boston AveBridgeport, CT 06610-1662 · (203) 873-0598 · Fax (203) 873-0602
Phone(203) 873-0598
Fax(203) 873-0602
Organization SubpartNo
Authorized OfficialKigons SongOwner · (646) 369-6918
Enumeration DateSeptember 9, 2015
✔ NPI 1194193094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
161 BOSTON AVE, Bridgeport, CT 06610
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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 6

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

JENNIFER LEE
Dentist (General Practice)
161 BOSTON AVE
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 873-0598
SELVATOR GJOKA DMD
Dentist
161 BOSTON AVE
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 873-0598
QUENTIN MEDICAL GROUP, LLC
Clinic/Center (Urgent Care)
161 BOSTON AVE
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 333-4400
SPH ENTERPRISE LLC
Dentist (General Practice)
161 BOSTON AVE
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 873-0598
DR. WASEEM SHAHID M.D.
Family Medicine
161 BOSTON AVE
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 333-4400
CARLY KRISAVAGE PHYSICIAN ASSISTANT
Physician Assistant
161 BOSTON AVE
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 333-4400

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 Sph Bridgeport, LLC's NPI number?

The NPI number for Sph Bridgeport, LLC is 1194193094. It was assigned to this organization in the NPPES registry on September 9, 2015.

Where is Sph Bridgeport, LLC located?

Sph Bridgeport, LLC is located at 161 Boston Ave, Bridgeport, CT 06610. The listed phone number is (203) 873-0598.

What is Sph Bridgeport, LLC'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 Sph Bridgeport, LLC was last updated on September 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.