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

NPI Status: Active since December 06, 2017

Contact Information

2690 E MAIN ST
BRIDGEPORT, CT
ZIP 06610
Phone: (203) 612-6079
Fax: (203) 612-6081

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  • Organization
  • Clinic/Center
  • Dental

About MGM FAMILY DENTAL

This page provides the complete NPI Profile along with additional information for Mgm Family Dental, a provider established in Bridgeport, Connecticut operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1821503210 assigned on December 2017. The practitioner's primary taxonomy code is 261QD0000X with license number 11154 (CT). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Dr. Hamed Ghorbani-moghaddam Dds (Owner)

NPI
1821503210
Provider Name
MGM FAMILY DENTAL
Entity Type
Organization
Location Address
2690 E MAIN ST BRIDGEPORT, CT 06610
Location Phone
(203) 612-6079
Location Fax
(203) 612-6081
Mailing Address
2690 E MAIN ST BRIDGEPORT, CT 06610
Mailing Phone
(203) 612-6079
Mailing Fax
(203) 612-6081
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-06-2017
Last Update Date
12-06-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
11154
License State
CT

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. HAMED GHORBANI-MOGHADDAM DDS

Authorized Official Title
OWNER
Authorized Official Phone
(203) 612-6079

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1821503210
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2841100622
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 4 + 1 + 1 + 0 + 0 + 6 + 2 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1821503210 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

DR. HAMED GHORBANI-MOGHADDAM D.D.S.

Dentist

(Endodontics)

2690 E MAIN ST
COLUMBIA DENTAL
BRIDGEPORT, CT
ZIP 06610

(203) 612-6079

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821503210, enumerated as an "organization" on December 06, 2017.

The provider is located at 2690 E MAIN ST BRIDGEPORT, CT 06610 and the phone number is (203) 612-6079.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.