Sutton Dental
LBN: Wolcott Street Dental-2, Pc
Sutton Dental is an health care organization with primary practice located at 144 Boston Ave , Bridgeport CT 06610-1604. The organization recently has 6 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Dentist is the primary health care specialty.
Wolcott Street Dental-2, Pc can be contacted via phone (800) 920-9947, or through Jacomino, Michelle via phone (770) 916-5036.
Contact Information
Primary practice address
144 Boston Ave
Bridgeport CT 06610-1604
Phone: (800) 920-9947
Fax: (678) 904-5666
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | ||
| Dental Providers / Endodontics | 1223E0200X | ||
| Dental Providers / General Practice | 1223G0001X | ||
| Dental Providers / Pediatric Dentistry | 1223P0221X | ||
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | ||
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X |
Profile Details
| NPI number | 1538392170 |
|---|---|
| LBN Legal business name | Wolcott Street Dental-2, Pc |
| DBA Doing business as | Sutton Dental |
| Authorized official | Jacomino, Michelle |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2009 |
| Last updated | Aug 19th, 2022 - about 4 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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