OrganizationActive
A Winning Smile LLC
NPI 1275749061 · General Practice Dentistry · Bridgeport, CT
Provider details
- NPI number
- 1275749061
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Ellen Karandisecky, Doctor(203) 372-3626
- License
- 006464CT (CT)
Specialties & taxonomies
Dental Providers
Practice location
4697 Main St
Bridgeport, CT 06606-1869
Phone: (203) 372-3626
Fax: (203) 372-4034
Approximate (ZIP-level) locationGet directions
Mailing address
4697 Main St
Bridgeport, CT 06606-1869
Registry dates
- Enumerated
- 2007-05-16
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.