Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Wolcott Street Dental-2, PC

Organization Dentist · NPI 1538392170

Wolcott Street Dental-2, PC is a Dentist in Bridgeport, Connecticut. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
6
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

144 Boston Ave
Bridgeport, CT 06610-1604
Phone: (800) 920-9947
Fax: (678) 904-5666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X
Endodontics Taxonomy 1223E0200X
General Practice Dentistry Taxonomy 1223G0001X
Pediatric Dentistry Taxonomy 1223P0221X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1538392170
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Jacomino — Director Of Payor Relations · (770) 916-5036
Other names Sutton Dental
NPI enumeratedAugust 31, 2009
Last updated in NPPESAugust 19, 2022
Certification dateAugust 19, 2022
Mailing address210 Interstate North Pkwy Se Ste 300, Atlanta, GA 30339-2233

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