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NPI 1154518405

IndividualActive

Brian Fitzgerald, DMD

NPI 1154518405 · Oral and Maxillofacial Surgery (Dentist) · Bridgeport, CT

Provider details

NPI number: 1154518405
Entity type: Individual
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Credential: DMD
Sex: Male
Sole proprietor: No
License: 4982 (CT)

Practice location

4747 Main St

Bridgeport, CT 06606-1804

Phone: (203) 371-5595

Fax: (203) 372-4912

More CT providers

Mailing address

4747 Main St

Bridgeport, CT 06606-1804

Registry dates

Enumerated: 2007-10-01
Last updated: 2007-11-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Brian Fitzgerald, DMD — NPI 1154518405, Bridgeport, CT | NPI Central