Organization
SPH ENTERPRISE LLC
Active
Other names
Bridgeport Family Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE DEVRIES (BUSINESS MANAGER)
(203) 873-0598
Entity
Organization
Contact information
Practice address
161 BOSTON AVE, BRIDGEPORT, CT 06610-1662
(203) 873-0598
Mailing address
161 BOSTON AVE, BRIDGEPORT, CT 06610-1662
(203) 873-0598
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009785
CT
1223G0001X
General Practice Dentistry
009846
CT
1223G0001X
General Practice Dentistry
009920
CT
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
010946
CT
Other
Enumeration date
03/12/2010
Last updated
05/08/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us