NORTHEAST DENTAL SOLUTIONS LLC


Address: 56 Harriet St, First Floor, Bridgeport, CT 06608-2131
Phone: 2033380090

NORTHEAST DENTAL SOLUTIONS LLC (NPI# 1093034621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093034621
Entity Type Organization
Organization Name NORTHEAST DENTAL SOLUTIONS LLC
Practice Address 56 Harriet St
First Floor
Bridgeport
CT 06608-2131
Practice Telephone 2033380090
Mailing Telephone 2033380090
Enumeration Date 2010-05-21
Last Update Date 2010-05-21
Authorized Official Name MR. CLIVE B. RUSELL (PART OWNER/MANAGER)
Authorized Official Telephone 2033380090
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist 009777 CT Dental Providers
Y 124Q00000X Dental Hygienist 006295 CT Dental Providers

Office Location

Street Address 56 HARRIET ST
FIRST FLOOR
City BRIDGEPORT
State CT
Zip Code 06608-2131

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1184193591 Full Circle Youth Empowerment Community/Behavioral Health 583-585 East Main Street, Bridgeport, CT 06608 2018-11-14
1225548332 Vicarah, LLC Home Health 941 East Main Street, Bridgeport, CT 06608 2017-10-03
1285092346 Heavenly Providers, LLC Home Health 1071 William St, Bridgeport, CT 06608 2016-02-04
1659590131 Annette Tirado Social Worker 982 East Main St, Bridgeport, CT 06608 2007-04-24
1629023536 Brenda I Kulikowski Midwife 982 East Main Street, Optimus Health Care, Bridgeport, CT 06608 2006-05-23
1043695588 Kirithika Mohanathaas Internal Medicine 471 Barnum Ave, Bridgeport, CT 06608 2015-07-27
1871749937 Michele J Feinberg Psychiatry & Neurology 982 E Main St, Bridgeport, CT 06608 2008-08-08
1023225646 Regional Network of Programs, Inc. Community Based Residential Treatment Facility, Mental Illness 74 Huntington Rd, Bridgeport, CT 06608-1006 2007-05-16
1295013910 Lorraine Dionne Brooks-williams Registered Nurse 100 Putnam St, Ph, Bridgeport, CT 06608-1045 2011-07-29
1558480673 City of Bridgeport Health Dept. Clinic/Center 479 Helen St, Bridgeport, CT 06608-1321 2007-03-28
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Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417099680 Karen Sue Williams Dental Hygienist 30 Hazel Street, Bridgeport, CT 06604-5715 2007-02-13
1952384885 Vitaly Lein Dental Hygienist 982 E Main St, Bridgeport, CT 06608-1913 2005-11-23
1356942494 Marilyn Karen Bartley Dental Hygienist 982 E Main St, Bridgeport, CT 06608-1913 2020-11-04
1235790296 Hudson I Hector Dental Hygienist 46 Albion St, Bridgeport, CT 06605-2602 2019-06-20
1740735026 Michelle Lane Dental Hygienist 1015 Columbia, Bridgeport, WA 98813 2016-08-17
1437525110 Myriam H Rodriguez Dental Hygienist 982 E Main St, Bridgeport, CT 06608-1913 2015-08-17
1568726784 Castelin Decamps Dental Hygienist 982 E Main St, Bridgeport, CT 06608-1913 2012-07-03
1366720013 Susan M. Miklos Dental Hygienist 126 Park Ave, Bridgeport, CT 06604-7620 2011-07-29
1629303813 Shauna Khan Dental Hygienist 982 E Main St, Bridgeport, CT 06608-1913 2009-10-06
1891940656 Amuri Barbosa Dental Hygienist 64 Black Rock Ave, Bridgeport, CT 06605-1200 2008-11-20
Find all providers in BRIDGEPORT

Competitor

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City BRIDGEPORT
Zip Code 06608

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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