Active NPIOrganization

Supreme Dental, LLC

Dentist, General Practice in Stamford, Connecticut

NPI Number1235719378
Practice location
44 Strawberry Hill Ave Ste 9, Stamford, CT 06902-2632
Fax
—
Last updated
April 28, 2021

Supreme Dental, LLC is a healthcare organization based in Stamford, CT. Supreme Dental, LLC practices in Stamford, CT. The NPI Number for Supreme Dental, LLC is 1235719378. The current practice location address for Supreme Dental, LLC is 44 Strawberry Hill Ave Ste 9, Stamford, CT 06902-2632 and can be reached out via phone at 774-345-9799.

Provider Profile Details

NPI Number
1235719378
Provider Name
Supreme Dental, LLC
Provider Entity Type
Organization
Address
44 Strawberry Hill Ave Ste 9, Stamford, CT 06902-2632
Phone Number
774-345-9799
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Mohammadreza Ghorbaniparvar, DDS · Member · 203-348-5612
Provider Enumeration Date
April 13, 2021
Last Update Date
April 28, 2021
Certification Date
April 28, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
44 Strawberry Hill Ave Ste 9
Stamford, CT 06902-2632
Zip
06902-2632
Phone Number
774-345-9799
Stamford, CT 06902Get directions →

Provider Business Mailing Address Details

Address
44 Strawberry Hill Ave Ste 9
Stamford, CT 06902-2632
City
Stamford
State
CT
Zip
06902-2632
Phone Number
774-345-9799

License Information

Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Supreme Dental, LLC?

The NPI number of Supreme Dental, LLC is 1235719378. It was assigned on April 13, 2021 and is currently active in the NPPES registry.

What is the specialty of Supreme Dental, LLC?

Supreme Dental, LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).

Where does Supreme Dental, LLC practice?

The practice location is 44 Strawberry Hill Ave Ste 9, Stamford, CT 06902-2632. The office can be reached at 774-345-9799 (phone).

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 1235719378 directly on the NPPES registry website.

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