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

Fair Haven Community Health Clinic Inc

Organization General Practice Dentistry · NPI 1104803444

Fair Haven Community Health Clinic Inc is a General Practice Dentistry in New Haven, Connecticut. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

374 Grand Ave
New Haven, CT 06513
Phone: (203) 777-7411
Fax: (203) 777-8506
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
General Practice Dentistry Taxonomy 1223G0001X
Dental Hygienist Taxonomy 124Q00000X
Midwife Taxonomy 176B00000X

Record details

NPI number1104803444
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suzanne Lagarde — Ceo · (203) 777-7411
NPI enumeratedDecember 28, 2005
Last updated in NPPESOctober 30, 2014
Mailing address374 Grand Ave, New Haven, CT 06513

Other providers in New Haven