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BRIDGEPORT FAMILY DENTAL GROUP
NPI 1609199074
Dentist - General Practice in Bridgeport, CT

Active since March 12, 2010
161 BOSTON AVE, BRIDGEPORT, CT 06610(203) 873-0598 Get Directions Write a Review

NPPES record last updated: May 8, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bridgeport Family Dental Group NPPES

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

BRIDGEPORT FAMILY DENTAL GROUP (NPI 1609199074) is a healthcare organization registered as a general practice in Bridgeport, Connecticut and active in the NPI registry since March 2010. The organization lists Diane Devries, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1609199074
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSPH ENTERPRISE LLC
Location Address161 BOSTON AVEBridgeport, CT 06610-1662
Mailing Address161 Boston AveBridgeport, CT 06610-1662 · (203) 873-0598
Phone(203) 873-0598
Organization SubpartNo
Authorized OfficialDiane DevriesBusiness Manager · (203) 873-0598
Enumeration DateMarch 12, 2010
Last NPPES UpdateMay 8, 2014
✔ NPI 1609199074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in CT · 009785✔ Licensed in CT · 009846✔ Licensed in CT · 009920
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 · Pediatric DentistryTaxonomy 1223P0221X
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 010946 (CT)
161 BOSTON AVE, Bridgeport, CT 06610
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Other Names 1

Doing Business AsBridgeport Family Dental Group

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
SPH BRIDGEPORT, LLC
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
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 Enterprise LLC's NPI number?

The NPI number for Sph Enterprise LLC is 1609199074. It was assigned to this organization in the NPPES registry on March 12, 2010. The provider is doing business as Bridgeport Family Dental Group.

Where is Sph Enterprise LLC located?

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

What is Sph Enterprise 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 Enterprise LLC was last updated on May 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.