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PERIODONTAL ASSOCIATES, LLC
NPI 1558364091
Dentist - Periodontics in Stamford, CT

Active since May 29, 2005

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Periodontal Associates, Llc NPPES

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

PERIODONTAL ASSOCIATES, LLC (NPI 1558364091) is a healthcare organization registered as a periodontics in Stamford, Connecticut and active in the NPI registry since May 2005. The organization lists Robert Chung, Member, as its authorized official.

NPPES Registry Identity

NPI1558364091
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePERIODONTAL ASSOCIATES, LLC
Location Address61 4TH STStamford, CT 06905-5010
Mailing Address61 4th StStamford, CT 06905-5010 · (203) 323-5900
Phone(203) 323-5900
Organization SubpartNo
Authorized OfficialRobert ChungMember · (203) 323-5900
Enumeration DateMay 29, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1558364091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CT · 9008
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

61 4TH ST, Stamford, CT 06905
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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 4

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

JOSEPH DEFILIPPO JR. DDS
Dentist (Endodontics)
61 4TH ST
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 324-2566
MS. ANNE SOPHIE LEBEL P.T.
Physical Therapist
61 4TH ST
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 358-0603
ALLEN I. TROY, M.D., P.C.
Orthopaedic Surgery
61 4TH ST
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 324-0307
JOSEPH DEFILIPPO DDS PC
Dentist (Endodontics)
61 4TH ST
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 324-2566

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 Periodontal Associates, LLC's NPI number?

The NPI number for Periodontal Associates, LLC is 1558364091. It was assigned to this organization in the NPPES registry on May 29, 2005.

Where is Periodontal Associates, LLC located?

Periodontal Associates, LLC is located at 61 4th St, Stamford, CT 06905. The listed phone number is (203) 323-5900.

What is Periodontal Associates, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Periodontal Associates, LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.