| Southport Family Dental | |
|
10 John St Southport CT 06890-1437 | |
| (203) 255-5142 | |
| (203) 259-5954 |
| Full Name | Southport Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10 John St, Southport, Connecticut |
| Authorized Official Name and Position | Pamela Gibson (MEMBER) |
| Authorized Official Contact | 2034351751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southport Family Dental 10 John St Southport CT 06890-1437 Ph: (203) 255-5142 | Southport Family Dental 10 John St Southport CT 06890-1437 Ph: (203) 255-5142 |
| NPI Number | 1568013001 |
|---|---|
| Provider Enumeration Date | 09/26/2019 |
| Last Update Date | 07/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568013001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Southport Smiles Dentistry, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 John St, Southport, CT 06890 Phone: 203-319-1300 Fax: 203-319-0893 | |
Southport Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 John St, Southport, CT 06890 Phone: 203-319-1300 | |
Southport Smiles P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 John St, Southport, CT 06890 Phone: 203-319-1300 Fax: 203-319-0893 | |
Salvatore M Pizzino & Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 John St, Southport, CT 06890 Phone: 203-255-5142 Fax: 203-259-5954 |