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

Northeast Dental Solutions LLC

Organization Dentist · NPI 1093034621

Northeast Dental Solutions LLC is a Dentist in Bridgeport, Connecticut. Licensed in Connecticut. Registered with an NPI since 2010.

Licensed in
CT
In the registry since
2010
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

56 Harriet St First Fl
Bridgeport, CT 06608-2131
Phone: (203) 338-0090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 006295 (CT)
Dentist Taxonomy 122300000X · Licence 009777 (CT)

Record details

NPI number1093034621
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clive Rusell — Part Owner/Manager · (203) 338-0090
NPI enumeratedMay 21, 2010
Last updated in NPPESMay 21, 2010
Mailing address56 Harriet St, First Floor, Bridgeport, CT 06608-2131

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