MOZAIC SENIOR LIFE
NPI 1710191366
Dentist in Bridgeport, CT

Q: What is Jewish Home For The Elderly Of Fairfield County Incorporated's specialty?

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

Active since May 10, 2007

4200 PARK AVE, BRIDGEPORT, CT 06604(203) 396-1075(203) 396-1108 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 14, 2024, Feb 19, 2019 (2 updates tracked since 2019).

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About Mozaic Senior Life NPPES

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

MOZAIC SENIOR LIFE (NPI 1710191366) is a healthcare organization registered as a dentist in Bridgeport, Connecticut and active in the NPI registry since May 2007. The organization lists Sheila Robinson, Ar Supervisor, as its authorized official.

NPPES Registry Identity

NPI1710191366

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameJEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY INCORPORATED

Location Address4200 PARK AVEBridgeport, CT 06604

Mailing Address4200 Park AveBridgeport, CT 06604-1049 · (203) 396-1075 · Fax (203) 396-1108

Phone(203) 396-1075

Fax(203) 396-1108

Organization SubpartNo

Authorized OfficialSheila RobinsonAr Supervisor · (203) 396-1075

Enumeration DateMay 10, 2007

Last NPPES UpdateAugust 14, 20242 updates tracked since enumeration

NPPES CertifiedAugust 14, 2024

✔ NPI 1710191366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

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.

4200 PARK AVE, Bridgeport, CT 06604

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Other Names 1

Doing Business AsMozaic Senior Life

Other Identifiers 1

Medicaid004197051CT

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.

HALEY SCHAEFER DPT

Physical Therapist