North End Dental Associates, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10125 Issued in CT

Legal business name

NORTH END DENTAL ASSOCIATES, PC

Practice address

4699 Main St
Suite 100
Bridgeport, CT 06606-1830

Phone

(203) 372-4296

Fax

(203) 372-4734

NPI assigned

Mar 27, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Amutha Raguram, DDS

Title

Dentist

Phone

(650) 576-8237

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael L Curtis, DMD,

  • General Practice Dentistry
  • Bridgeport, CT
  • NPI 1154460798
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1053705061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4699 MAIN ST",
            "address_2": "SUITE 100",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061830",
            "telephone_number": "203-372-4296",
            "fax_number": "203-372-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4699 MAIN ST",
            "address_2": "SUITE 100",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061830",
            "telephone_number": "203-372-4296",
            "fax_number": "203-372-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH END DENTAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "RAGURAM",
        "authorized_official_first_name": "AMUTHA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "650-576-8237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "10125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christopher Nolan, CRNA
• Norja E. Cunningham, LMFT, Art Trained, LLC
• North Avenue Advanced Dental Center
• North End Medical Group LLC
• Mary L North, CRNA
• Northbridge Health Care Center, Inc. (Northbridge Health Care Center)
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• Northeast Ambulatory Anesthesia LLC

• General Practice Dentistry in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.