<Unavail>

LBN: Long Ridge Dental Llc
<Unavail> is an health care organization with primary practice located at 3741 Main St , Bridgeport CT 06606-3609. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / General Practice is the primary health care specialty. Long Ridge Dental Llc can be contacted via phone (475) 282-4912, or through Song, Kigon via phone (646) 369-6918.

Contact Information

Primary practice address
3741 Main St Bridgeport CT 06606-3609
Phone: (475) 282-4912
Fax: (475) 282-4915
Website:
Map and Directions
Authorized official contact:
Name: Song, Kigon Doctor of Dental Surgery (DDS)
Phone: (646) 369-6918

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X
Dental Providers / General Practice 1223G0001X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1356756423
LBN Legal business name Long Ridge Dental Llc
DBA Doing business as <Unavail>
Authorized official Song, Kigon Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2014
Last updated Mar 2nd, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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