# DENTAL ASSOCIATES OF BRIDGEPORT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881149821
- **Authorized official:** JAMES CASERTA DDS (OWNER)
- **Authorized official phone:** (203) 384-2261

## Contact information

- **Practice address:** 633 CLINTON AVE, BRIDGEPORT, CT 06605-1711
- **Practice address phone:** (203) 384-2261
- **Practice address fax:** (203) 366-4094
- **Mailing address:** 633 CLINTON AVE, BRIDGEPORT, CT 06605-1711
- **Mailing address phone:** (203) 384-2261
- **Mailing address fax:** (203) 366-4094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | CT | Yes |

## Other

- **Enumeration date:** 08/19/2016
- **Last updated:** 08/19/2016
