Fair Haven Community Health Clinic Inc is a Dental Hygienist Clinic in New Haven, Connecticut. It is located at 374 Grand Ave, New Haven, CT and its contact number is 203-777-7411. The authorized person for Fair Haven Community Health Clinic Inc is Suzanne Lagarde
who is Ceo of the clinic and their contact number is 203-777-7411.
Fair Haven Community Health Clinic Inc Clinic An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Complete Clinic Profile:
Fair Haven Community Health Clinic Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Fair Haven Community Health Clinic Inc |
| Specialization: | Dental Hygienist |
| Clinic Address: | 374 Grand Ave, New Haven,
Connecticut, 06513 |
| Phone: | 203-777-7411 |
| Fax: | 203-777-8506 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Suzanne Lagarde |
| Position: | Ceo |
| Contact Number: | 203-777-7411 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Fair Haven Community Health Clinic Inc clinic are as mentioned below.
| NPI Number: | 1104803444 |
| NPI Enumeration Date: | 28 Dec, 2005 |
| NPI Last Update On: | 30 Oct, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fair Haven Community Health Clinic Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Federally Qualified Health Center (FQHC) | | | Primary | |
| Dental Hygienist | | | Secondary | |
| General Practice | | | Secondary | |
| Midwife | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 004235736 | Medicaid | Connecticut | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Fair Haven Community Health Clinic Inc
374 Grand Ave,
New Haven, Connecticut |
| Zip: | 06513 |
| Phone Number: | 203-777-7411 |
| Fax Number: | 203-777-8506 |
Patients can reach Fair Haven Community Health Clinic Inc at
374 Grand Ave, New Haven, Connecticut or can
call to book an appointment on 203-777-7411.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.