Bridgeworks LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

008564 Issued in CT

Legal business name

BRIDGEWORKS LLC

Practice address

115 Bridge St
Groton, CT 06340

Phone

(860) 446-8744

Fax

(860) 448-3780

NPI assigned

May 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Theologos Ted Malahias, DDSNPI 1225230089

Title

Dentist

Phone

(860) 446-8744

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theologos Ted Malahias, D.D.S

  • General Practice Dentistry
  • Groton, CT
  • NPI 1225230089
  NPD (past) Authorized official
• Vincent Antonelli, DDS

  • Dentist
  • Groton, CT
  • NPI 1497965982
  NPD (past)
• Mabroor A Khan, DMD

  • Dentist
  • Groton, CT
  • NPI 1538629498
  NPD (past)
• Sean Hyungbeom Kim

  • General Practice Dentistry
  • Groton, CT
  • NPI 1225230998
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720034457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BRIDGE ST",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "06340",
            "telephone_number": "860-446-8744",
            "fax_number": "860-448-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BRIDGE ST",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "06340",
            "telephone_number": "860-446-8744",
            "fax_number": "860-448-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWORKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALAHIAS",
        "authorized_official_first_name": "THEOLOGOS",
        "authorized_official_middle_name": "TED",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "860-446-8744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "008564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Braun, DDS
• Alicia Brengman, PHD, MS
• Joanna L. Breton, APRN
• Stephen Jeffrey Brewer, PHD.
• Evelyn Marie Bridges, LCSW
• Allyn Patrick Brown
• Anna Brown
• Ivan Leavitt Brown
• Sarah-Anne M Bruno, DC
• Barbara Brzostek

• General Practice Dentistry in Groton, CT
• Providers in Groton, 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 Aug 22, 2020; 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.