Jewish Home For The Elderly Dental Group | |
4200 Park Ave Bridgeport CT 06604 | |
(203) 396-1075 | |
(203) 396-1108 |
Full Name | Jewish Home For The Elderly Dental Group |
---|---|
Speciality | Dentist |
Location | 4200 Park Ave, Bridgeport, Connecticut |
Authorized Official Name and Position | Sheila Robinson (AR SUPERVISOR) |
Authorized Official Contact | 2033961075 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jewish Home For The Elderly Dental Group 4200 Park Ave Bridgeport CT 06604-1049 Ph: (203) 396-1075 | Jewish Home For The Elderly Dental Group 4200 Park Ave Bridgeport CT 06604 Ph: (203) 396-1075 |
NPI Number | 1710191366 |
---|---|
Provider Enumeration Date | 05/10/2007 |
Last Update Date | 02/19/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710191366 | NPI | - | NPPES |
004197051 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
News Archive
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