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SHIPPAN DENTAL CENTER
NPI 1063758183
Dentist - General Practice in Stamford, CT

Active since December 18, 2012
587 ELM ST, SHIPPAN DENTAL CENTER, STAMFORD, CT 06902(203) 658-8797(203) 355-9837 Get Directions Write a Review

NPPES record last updated: December 18, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shippan Dental Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIPPAN DENTAL CENTER (NPI 1063758183) is a healthcare organization registered as a general practice in Stamford, Connecticut and active in the NPI registry since December 2012. The organization lists Olga Goncharova, Owner, as its authorized official.

NPPES Registry Identity

NPI1063758183
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSHIPPAN DENTAL CENTER
Location Address587 ELM ST, SHIPPAN DENTAL CENTERStamford, CT 06902-5113
Mailing Address316 Hope St, Family Dental PracticeStamford, CT 06906-1704 · (203) 353-8532 · Fax (203) 353-8542
Phone(203) 658-8797
Fax(203) 355-9837
Organization SubpartNo
Authorized OfficialOlga GoncharovaOwner · (203) 658-8797
Enumeration DateDecember 18, 2012
✔ NPI 1063758183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CT · 8984
Definition
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.
587 ELM ST, Stamford, CT 06902
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Other Identifiers 1

Medicaid002089846CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDA FERRARO RDH
Dental Hygienist
587 ELM ST
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 969-0802
HIMMAT BAJWA DMD
Dentist (General Practice)
587 ELM ST
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 969-0802
STANISLAV GINTAUTAS DDS
Dentist (General Practice)
587 ELM ST
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 359-6888
MARY ANN LLINAS RDH
Dental Hygienist
587 ELM ST
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 969-0802
TRACEY ANDREWS RDH
Dental Hygienist
587 ELM ST
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 969-0802
DENTAL GROUP OF STAMFORD
Dentist (General Practice)
587 ELM ST
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 359-6888
RICHARD MALEK DMD
Dentist (General Practice)
587 ELM ST
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 969-0802

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shippan Dental Center's NPI number?

The NPI number for Shippan Dental Center is 1063758183. It was assigned to this organization in the NPPES registry on December 18, 2012.

Where is Shippan Dental Center located?

Shippan Dental Center is located at 587 Elm St Shippan Dental Center, Stamford, CT 06902. The listed phone number is (203) 658-8797.

What is Shippan Dental Center's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Shippan Dental Center was last updated on December 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.