| Fones School Of Dental Hygiene Dental Clinic | |
|
60 Lafayette St Bridgeport CT 06604-7719 | |
| (203) 576-4138 | |
| (203) 576-4220 |
| Full Name | Fones School Of Dental Hygiene Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 60 Lafayette St, Bridgeport, Connecticut |
| Authorized Official Name and Position | Susan Williams (V. P. ADMINISTRATION AND FINANCE) |
| Authorized Official Contact | 2035764651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fones School Of Dental Hygiene Dental Clinic 60 Lafayette St Bridgeport CT 06604-7719 Ph: (203) 576-4138 | Fones School Of Dental Hygiene Dental Clinic 60 Lafayette St Bridgeport CT 06604-7719 Ph: (203) 576-4138 |
| NPI Number | 1457493728 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 03/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457493728 | NPI | - | NPPES |
| 004010955 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0463 (Connecticut) | Primary |
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