Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Connecticut Dental Gruop, LLC

Organization Dentist · NPI 1083847172

Connecticut Dental Gruop, LLC provides Dentist services in Bridgeport, Connecticut. Licensed in Connecticut. Registered with an NPI since 2009.

Licensed in
CT
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4699 Main St Ste 203
Bridgeport, CT 06606-1830 Not confirmed with CMS for 17 years — call before visiting
Phone: (203) 372-4200
Fax: (203) 372-2376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 08681 (CT)

Record details

NPI number1083847172
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mehran Azar — Member · (203) 372-4200
NPI enumeratedAugust 24, 2009
Last updated in NPPESAugust 24, 2009
Mailing address4699 Main St, Suite 203, Bridgeport, CT 06606-1830

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