Supreme Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SUPREME DENTAL, LLC

Practice address

44 Strawberry Hill Ave Ste 9
Stamford, CT 06902-2632

Phone

(774) 345-9799

NPI assigned

Apr 13, 2021

Organization subpart

No

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

Authorized official

Name

Mohammadreza Ghorbaniparvar, DDSNPI 1972124220

Title

Member

Phone

(203) 348-5612

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohammadreza Ghorbaniparvar

  • Dentist
  • Stamford, CT
  • NPI 1972124220
  NPD Authorized official
• Bozena Joanna Kierski, DDS

  • General Practice Dentistry
  • Stamford, CT
  • NPI 1962495077
  NPD (past)

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1235719378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 STRAWBERRY HILL AVE STE 9",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022632",
            "telephone_number": "774-345-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 STRAWBERRY HILL AVE STE 9",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022632",
            "telephone_number": "774-345-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "GHORBANIPARVAR",
        "authorized_official_first_name": "MOHAMMADREZA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-348-5612",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Summer, BCBA
• Alan K Summerfield, APRN, CRNA
• Summit Sport Chiropractic
• Ying Sung, D.D.S.
• Supportive ABA Therapy CT LLC
• Barrie Suskin, M.D.
• Karen Michelle Sutton, M.D.
• Sarah W Swanberg, L.AC.
• Collisha Swanson, DDS
• Lauren Sweeney

• 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 Apr 28, 2021; 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.