1. Home
  2. Directory
  3. Connecticut
  4. Bridgeport
  5. Clinic Center
  6. NPI Profile

MGM FAMILY DENTAL
NPI 1821503210
Clinic/Center - Dental in Bridgeport, CT

Active since December 06, 2017
2690 E MAIN ST, BRIDGEPORT, CT 06610(203) 612-6079(203) 612-6081 Get Directions Write a Review

NPPES record last updated: December 6, 2017. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mgm Family Dental NPPES

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

MGM FAMILY DENTAL (NPI 1821503210) is a healthcare organization registered as a dental in Bridgeport, Connecticut and active in the NPI registry since December 2017. The organization lists Hamed Ghorbani-moghaddam, Owner, as its authorized official.

NPPES Registry Identity

NPI1821503210
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMGM FAMILY DENTAL
Location Address2690 E MAIN STBridgeport, CT 06610-1422
Mailing Address2690 E Main StBridgeport, CT 06610-1422 · (203) 612-6079 · Fax (203) 612-6081
Phone(203) 612-6079
Fax(203) 612-6081
Organization SubpartNo
Authorized OfficialHamed Ghorbani-moghaddamOwner · (203) 612-6079
Enumeration DateDecember 6, 2017
✔ NPI 1821503210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in CT · 11154
2690 E MAIN ST, Bridgeport, CT 06610
Open in Google Maps ↗

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. HAMED GHORBANI-MOGHADDAM D.D.S.
Dentist (Endodontics)
2690 E MAIN ST, COLUMBIA DENTAL
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 612-6079

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 Mgm Family Dental's NPI number?

The NPI number for Mgm Family Dental is 1821503210. It was assigned to this organization in the NPPES registry on December 6, 2017.

Where is Mgm Family Dental located?

Mgm Family Dental is located at 2690 E Main St, Bridgeport, CT 06610. The listed phone number is (203) 612-6079.

What is Mgm Family Dental's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Mgm Family Dental was last updated on December 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.