1. Home
  2. Directory
  3. California
  4. South Gate
  5. Dentist
  6. NPI Profile

STATE DENTAL INC.
NPI 1154516680
Dentist - General Practice in South Gate, CA

Active since September 07, 2007
3175 FIRESTONE BLVD STE 200, SOUTH GATE, CA 90280(323) 563-9124(323) 563-9814 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 30, 2021, Nov 11, 2021 (2 updates tracked since 2021).

About State Dental Inc. NPPES

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

STATE DENTAL INC. (NPI 1154516680) is a healthcare organization registered as a general practice in South Gate, California and active in the NPI registry since September 2007. The organization lists Larissa Gushansky, Owner, as its authorized official.

NPPES Registry Identity

NPI1154516680
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLARISSA GUSHANSKY, DDS INC.
Location Address3175 FIRESTONE BLVD STE 200South Gate, CA 90280-2951
Mailing Address3175 Firestone Blvd Ste 200South Gate, CA 90280-2951 · (323) 563-9124 · Fax (323) 563-9814
Phone(323) 563-9124
Fax(323) 563-9814
Organization SubpartNo
Authorized OfficialLarissa GushanskyOwner · (323) 563-9124
Enumeration DateSeptember 7, 2007
Last NPPES UpdateNovember 30, 20212 updates tracked since enumeration
NPPES CertifiedNovember 30, 2021
✔ NPI 1154516680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
3175 FIRESTONE BLVD STE 200, South Gate, CA 90280
Open in Google Maps ↗

Other Names 1

Other NameState Dental Inc.

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Larissa Gushansky, Dds Inc.'s NPI number?

The NPI number for Larissa Gushansky, Dds Inc. is 1154516680. It was assigned to this organization in the NPPES registry on September 7, 2007. The provider is also known as State Dental Inc..

Where is Larissa Gushansky, Dds Inc. located?

Larissa Gushansky, Dds Inc. is located at 3175 Firestone Blvd Ste 200, South Gate, CA 90280. The listed phone number is (323) 563-9124.

What is Larissa Gushansky, Dds Inc.'s specialty?

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

What insurance does Larissa Gushansky, Dds Inc. accept?

Health plans from UnitedHealthcare list Larissa Gushansky, Dds Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Larissa Gushansky, Dds Inc. was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.