Organization
DENTAL HYGIENE DIVISION
Active
Parent organization
CITY O BRIDGEPORT
Other names
City of Bridgeport Health Department
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY O BRIDGEPORT
Authorized official
HELEN O'BRIEN RDH (SUPERVISOR)
(203) 576-7441
Entity
Organization
Contact information
Practice address
752 E MAIN ST, FLOOR 3 ROOM 320, BRIDGEPORT, CT 06608-2335
(203) 576-7441
(203) 576-8311
Mailing address
752 E MAIN ST, FLOOR 3 ROOM 320, BRIDGEPORT, CT 06608-2335
(203) 576-7441
(203) 576-8311
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
0033
CT
261QD0000X
Dental Clinic/Center
Primary
0033
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004011029
—
CT
Enumeration date
03/06/2007
Last updated
06/16/2008
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