Optimus Healthcare | |
982 E Main St Dental Department Bridgeport CT 06608-1913 | |
(203) 696-3260 | |
(203) 334-8104 |
Full Name | Optimus Healthcare |
---|---|
Speciality | Clinic/center - Dental |
Location | 982 E Main St, Bridgeport, Connecticut |
Authorized Official Name and Position | Kris Kotsay (DENTAL DIRECTOR) |
Authorized Official Contact | 2036963260 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Optimus Healthcare 982 E Main St Dental Department Bridgeport CT 06608-1913 Ph: (203) 696-3260 | Optimus Healthcare 982 E Main St Dental Department Bridgeport CT 06608-1913 Ph: (203) 696-3260 |
NPI Number | 1972907012 |
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Provider Enumeration Date | 10/17/2014 |
Last Update Date | 10/17/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972907012 | NPI | - | NPPES |
1669548376 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 006486 (Connecticut) | Primary |
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