Shippan Dental Center
Dentist, General Practice in Stamford, Connecticut
1063758183- Practice location
- 587 Elm St, Shippan Dental Center, Stamford, CT 06902-5113
- Phone
- 203-658-8797
- Fax
- 203-355-9837
- Last updated
- December 18, 2012
Shippan Dental Center is a healthcare organization based in Stamford, CT. Shippan Dental Center practices in Stamford, CT. The NPI Number for Shippan Dental Center is 1063758183 and holds a License No. 8984 (CT). The current practice location address for Shippan Dental Center is 587 Elm St, Shippan Dental Center, Stamford, CT 06902-5113 and can be reached out via phone at 203-658-8797 and via fax at 203-355-9837.
Provider Profile Details
- NPI Number
- 1063758183
- Provider Name
- Shippan Dental Center
- Provider Entity Type
- Organization
- Address
- 587 Elm St, Shippan Dental Center, Stamford, CT 06902-5113
- Phone Number
- 203-658-8797
- Fax Number
- 203-355-9837
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Olga Goncharova, DDS · Owner · 203-658-8797
- Provider Enumeration Date
- December 18, 2012
- Last Update Date
- December 18, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 587 Elm St
Shippan Dental Center
Stamford, CT 06902-5113 - City
- Stamford
- State
- Connecticut
- Zip
- 06902-5113
- Phone Number
- 203-658-8797
- Fax Number
- 203-355-9837
Provider Business Mailing Address Details
- Address
- 316 Hope St
Family Dental Practice
Stamford, CT 06906-1704 - City
- Stamford
- State
- CT
- Zip
- 06906-1704
- Phone Number
- 203-353-8532
- Fax Number
- 203-353-8542
License Information
- License Number
- 8984
- License State
- CT
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Shippan Dental Center?
The NPI number of Shippan Dental Center is 1063758183. It was assigned on December 18, 2012 and is currently active in the NPPES registry.
What is the specialty of Shippan Dental Center?
Shippan Dental Center is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 8984.
Where does Shippan Dental Center practice?
The practice location is 587 Elm St, Shippan Dental Center, Stamford, CT 06902-5113. The office can be reached at 203-658-8797 (phone) or 203-355-9837 (fax).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063758183 directly on the NPPES registry website.