Stamford Plaza Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

STAMFORD PLAZA FAMILY DENTAL

Practice address

1990 W Main St
Stamford, CT 06902-4563

Phone

(201) 725-0372

NPI assigned

Sep 27, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Arthur Revechkis

Title

Managing Partner

Phone

(201) 725-0372

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1194034074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 W MAIN ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069024563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 W MAIN ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069024563",
            "telephone_number": "201-725-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAMFORD PLAZA FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "REVECHKIS",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "201-725-0372"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Stamford, CT
• Providers in Stamford, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.