Individual provider · Type 1 NPI

Ellen Lynn Karandisecky, DDS

General Practice Dentistry · Bridgeport, CT

NPI number 1487678660 Active

Practice location

4697 Main St
Bridgeport, CT 06606-1869

Call (203) 372-3626 Map

Fax (203) 372-4034

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X006464 (CT)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1487678660

Ellen Lynn Karandisecky, DDS's National Provider Identifier is 1487678660, issued on Jul 27, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Bridgeport, CT. The record was last updated on Jul 8, 2007.