Town Center Dental of Stamford P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

008856 Issued in CT

Legal business name

TOWN CENTER DENTAL OF STAMFORD P.C.

Practice address

100 Greyrock PL
Stamford, CT 06901-3118

Phone

(203) 348-0300

Fax

(203) 324-9665

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ross Krasnov, DDS

Title

Owner

Phone

(203) 348-0300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1447380787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GREYROCK PL",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069013118",
            "telephone_number": "203-348-0300",
            "fax_number": "203-324-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GREYROCK PL",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069013118",
            "telephone_number": "203-348-0300",
            "fax_number": "203-324-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN CENTER DENTAL OF STAMFORD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "KRASNOV",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-348-0300",
        "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": "008856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Stamford, CT
• Providers in Stamford, CT by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.