SHIPPAN DENTAL CENTER (NPI# 1063758183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063758183 |
| Entity Type | Organization |
| Organization Name | SHIPPAN DENTAL CENTER |
| Practice Address |
587 Elm St Shippan Dental Center Stamford CT 06902-5113 |
| Mailing Address |
316 Hope St Family Dental Practice Stamford CT 06906-1704 |
| Practice Telephone | 2036588797 |
| Practice Fax Number | 2033559837 |
| Mailing Telephone | 2033538532 |
| Mailing Fax Number | 2033538542 |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |
| Authorized Official Name | DR. OLGA GONCHAROVA (OWNER) |
| Authorized Official Telephone | 2036588797 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8984 | CT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 002089846 | 05 |
| Street Address |
587 ELM ST SHIPPAN DENTAL CENTER |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-5113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982685160 | Richard Malek | Dentist | 587 Elm St, Stamford, CT 06902-5113 | 2005-11-07 |
| 1245557644 | Stanislav Gintautas | Dentist | 587 Elm St, Stamford, CT 06902-5113 | 2010-04-23 |
| 1932368644 | Dental Group of Stamford | Dentist | 587 Elm St, Stamford, CT 06902-5113 | 2008-06-06 |
| 1205856135 | Himmat Bajwa | Dentist | 587 Elm St, Stamford, CT 06902-5113 | 2006-07-21 |
| 1184607194 | Linda Ferraro | Dental Hygienist | 587 Elm St, Stamford, CT 06902-5113 | 2005-11-23 |
| 1922080746 | Tracey Andrews | Dental Hygienist | 587 Elm St, Stamford, CT 06902-5113 | 2005-11-17 |
| 1558343376 | Mary Ann Llinas | Dental Hygienist | 587 Elm St, Stamford, CT 06902-5113 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861043242 | Palak Bhambri | Pharmacist | 537 Canal Street, Stamford, CT 06902 | 2019-09-26 |
| 1730654815 | Brenice Duroseau | Nurse Practitioner | 292 Long Ridge Rd Ste 202, Stamford, CT 06902 | 2018-10-04 |
| 1447732862 | Ngoc Lam | Pharmacist | 1990 West Main Street, Stamford, CT 06902 | 2018-09-01 |
| 1336627264 | Margaret F Gorelick | Nurse Practitioner | Stamford Health, One Hospital Plaza, Stamford, CT 06902 | 2018-08-02 |
| 1174053425 | Ashley Marie Santana | Social Worker | 110 Commons Park N Apt 1158, Stamford, CT 06902 | 2017-06-19 |
| 1578090395 | Anas Al-sabbagh | Dentist | 1 Strawberry Hill Court Suite L7 Stamford, Connecticut, Stamford, CT 06902 | 2017-05-11 |
| 1154862936 | Hillary Rubin | Psychologist | 44 Commerce Avenue, Stamford, CT 06902 | 2017-03-14 |
| 1801332135 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1 Hospital Plz Ste G122, Stamford, CT 06902 | 2017-01-10 |
| 1932563277 | Mary Hurtadodemendoza | Pharmacist | 59 Courtland Ave 2m, Stamford, CT 06902 | 2016-04-13 |
| 1235592247 | Advanced Therapy and Performance LLC | Physical Medicine & Rehabilitation | 75 Selleck Street, Stamford, CT 06902 | 2016-03-29 |
| Find all providers in zip 06902 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649827981 | Caitlin Rose Berwick | Dentist | 251 Long Ridge Rd, Stamford, CT 06902-1640 | 2019-08-21 |
| 1497230163 | Nidhi Ganatra | Dentist | 75 Tresser Blvd Unit 449, Stamford, CT 06901-3363 | 2018-09-28 |
| 1811486517 | Direct Dental Services LLC | Dentist | 70 Mill River St Ste Ul2, Stamford, CT 06902-3725 | 2018-05-08 |
| 1750762753 | Janmeet Grover Dmd PC | Dentist | 1134 E Main St, Stamford, CT 06902-4315 | 2015-06-15 |
| 1861895526 | Dent Plus Family Dentistry LLC | Dentist | 99 Prospect St Unit 1c, Stamford, CT 06901-1636 | 2014-10-08 |
| 1033510474 | Pearl Dental of Stamford, PC | Dentist | 1055 Summer St, Suite 3, Stamford, CT 06905-5527 | 2014-09-04 |
| 1972920957 | Getz Dental Partners | Dentist | 1607 Bedford Street, Stamford, CT 06905 | 2014-03-27 |
| 1376808816 | Alain Wagner Auguste | Dentist | 72 Noble St, Stamford, CT 06902-7602 | 2012-07-11 |
| 1558625954 | Ahmed Boraey | Dentist | 19 Myano Ct, Stamford, CT 06902-2108 | 2012-06-29 |
| 1104186733 | Harbor Point Dental PC | Dentist | 711 Canal St, Stamford, CT 06902-5902 | 2012-05-16 |
| Find all providers in STAMFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.