OrganizationActive
Bridgeport Dentist
NPI 1154628477 · General Practice Dentistry · Bridgeport, CT
Provider details
- NPI number
- 1154628477
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Mira Yi, Director(203) 873-0708
- License
- 010006 (CT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2992 Main St
Bridgeport, CT 06606-4226
Phone: (203) 873-0708
Street-level locationGet directions
Mailing address
2992 Main St
Bridgeport, CT 06606-4226
Registry dates
- Enumerated
- 2011-02-23
- Last updated
- 2011-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.