Family Dental Practice PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

008984 Issued in CT

Legal business name

FAMILY DENTAL PRACTICE PC

Practice address

316 Hope St
Stamford, CT 06906-1704

Phone

(203) 353-8532

Fax

(203) 353-8542

NPI assigned

Jan 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Olga Goncharova, DDSNPI 1851446058

Title

Owner

Phone

(203) 353-8532

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Olga Goncharova, DDS

  • General Practice Dentistry
  • Stamford, CT
  • NPI 1851446058
  NPD (past) Authorized official

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230854400000",
    "number": "1376789966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 HOPE ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069061704",
            "telephone_number": "203-353-8532",
            "fax_number": "203-353-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 HOPE ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069061704",
            "telephone_number": "203-353-8532",
            "fax_number": "203-353-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-02",
        "last_updated": "2009-01-02",
        "status": "A",
        "authorized_official_last_name": "GONCHAROVA",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-353-8532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "008984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002089846",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arzhang Fallahi, M.D.
• Family Centers Inc
• Family Centers Inc
• Family Dental Care of Stamford, LLC
• Family Dental Health, LLC
• Family Dentistry of Stamford PC
• Family Life Psychological Services PC
• Family Medicine Associates of Stamford, P.C.
• Christiana Famodimu, M.D
• Shari Faye Fanelli, MS, LPC, ATR

• 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 Jan 2, 2009; 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.