Dr Larry Isaac Gottlieb, DDS - Medicare Dentist in Bridgeport, CT

Dr Larry Isaac Gottlieb, DDS is a medicare enrolled "Dentist - General Practice" provider in Bridgeport, Connecticut. His current practice location is 4697 Main St, Bridgeport, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 374-1027.

Dr Larry Isaac Gottlieb is licensed to practice in Connecticut (license number 5874) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1508838509.

Contact Information

Dr Larry Isaac Gottlieb, DDS
4697 Main St,
Bridgeport, CT 06606-1869
(203) 374-1027
(203) 610-6663



Healthcare Provider's Profile

Full NameDr Larry Isaac Gottlieb
GenderMale
SpecialityDentist - General Practice
Location4697 Main St, Bridgeport, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508838509
  • Provider Enumeration Date: 02/03/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0941520233
  • Enrollment ID: I20150528001197

Medical Identifiers

Medical identifiers for Dr Larry Isaac Gottlieb such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508838509NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 5874 (Connecticut)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Larry Isaac Gottlieb is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Larry Isaac Gottlieb, DDS
4697 Main St,
Bridgeport, CT 06606-1869

Ph: (203) 374-1027
Dr Larry Isaac Gottlieb, DDS
4697 Main St,
Bridgeport, CT 06606-1869

Ph: (203) 374-1027

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› Verified 8 days ago


Dentist in Bridgeport, CT

Giuliana Novoa-ordonez, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 982 E Main St, Bridgeport, CT 06608
Phone: 203-696-3270    Fax: 203-334-8104
Frank J Romano, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 2240 Madison Ave, Bridgeport, CT 06606
Phone: 203-327-0881    
Dr. Francis Vincent Tiberi, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3015 Main St, Bridgeport, CT 06606
Phone: 203-365-0015    Fax: 203-365-0020
Dr. Michael Salpeter, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 633 Clinton Ave, Bridgeport Dental Llc, Bridgeport, CT 06605
Phone: 203-384-2261    
Dr. Payal Jain, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2660 Main St, # 217, Bridgeport, CT 06606
Phone: 203-219-0285    
Leonard Lipton, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 982 E Main St, Bridgeport, CT 06608
Phone: 203-696-3260    Fax: 203-332-0376
Weruche Chinyere Okonkwo, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 468 Clinton Ave, Bridgeport, CT 06605
Phone: 203-337-6266    Fax: 203-337-6261

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