SAIF ISSAC (NPI# 1326591223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326591223 |
| Entity Type | Individual |
| Full Name | SAIF ISSAC |
| Practice Address |
982 E Main St Bridgeport CT 08806 |
| Mailing Address |
982 E Main St Bridgeport CT 08806-1913 |
| Practice Telephone | 2036963260 |
| Practice Fax Number | 2036963269 |
| Mailing Telephone | 2036963260 |
| Mailing Fax Number | 2036963269 |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2018-10-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DD4589 | NM | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12343 | CT | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1160 El Paseo Rd Ste D1, Las Cruces, NM 880016040 | 8889884066 | 8474964850 |
| Street Address |
982 E MAIN ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 08806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1609475169 | Farihah Janan Ahmed | Dentist | 982 E Main St, Bridgeport, CT 06608-1913 | 2020-10-25 |
| 1093347114 | Alix Pose-sussman | Acupuncturist | 982 E Main St, Bridgeport, CT 06608-1913 | 2020-02-06 |
| 1629588678 | Kristin Obrien | Social Worker | 982 E Main St, Bridgeport, CT 06608-1913 | 2017-10-04 |
| 1740651884 | Michael O'malley | Social Worker | 982 E Main St, Bridgeport, CT 06608-1913 | 2015-10-15 |
| 1437525110 | Myriam H Rodriguez | Dental Hygienist | 982 E Main St, Bridgeport, CT 06608-1913 | 2015-08-17 |
| 1972907012 | Optimus Healthcare | Clinic/Center | 982 E Main St, Dental Department, Bridgeport, CT 06608-1913 | 2014-10-17 |
| 1447652490 | Charles Engle | Physician Assistant | 982 E Main St, Bridgeport, CT 06608-1913 | 2014-09-22 |
| 1801205463 | Carly Gene Staab | Nurse Practitioner | 982 E Main St, Bridgeport, CT 06608-1913 | 2014-08-07 |
| Find all providers in the same location | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891355814 | Kristopher Antonio Yen | Dentist | 32 Kathryn Dr, Bridgeport, CT 06610-1264 | 2019-06-20 |
| 1407239379 | Oliver Sun | Dentist | 3885 Main St Ste 101, Bridgeport, CT 06606-2814 | 2015-07-09 |
| 1679970172 | Aarti Jawa | Dentist | 594 Pequonnoack Street, Bridgeport, CT 06604 | 2014-11-26 |
| 1588064349 | Siz, LLC | Dentist | 1041-1043 East Main Street, Bridgeport, CT 06608-1916 | 2014-08-29 |
| 1306269758 | Dr.dental of Bridgeport PC | Dentist | 1700 Park Ave., Bridgeport, CT 06604-3826 | 2014-01-21 |
| 1700144714 | Hamed Ghorbani-moghaddam | Dentist | 2690 E Main St, Columbia Dental, Bridgeport, CT 06610-1422 | 2012-04-26 |
| 1831476050 | Dental Centers of Fairfiled County LLC | Dentist | 140 Hurd Ave, Bridgeport, CT 06604-2701 | 2011-11-16 |
| 1124308184 | Family Dentistry of Bridgeport P.C. | Dentist | 90 Brooklawn Ave, Bridgeport, CT 06604-2010 | 2011-08-23 |
| 1861789034 | Bridgeport Dental Care, LLC | Dentist | 2417 E Main St, Bridgeport, CT 06610-1802 | 2011-07-07 |
| 1154628477 | Bridgeport Dentist | Dentist | 2992 Main St, Bridgeport, CT 06606-4226 | 2011-02-23 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 08806 |
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| 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.