Larry Isaac Gottlieb, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5874 Issued in CT

Practice address

4697 Main St
Bridgeport, CT 06606-1869

Phone

(203) 374-1027

Fax

(203) 610-6663

NPI assigned

Feb 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1508838509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4697 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061869",
            "telephone_number": "203-374-1027",
            "fax_number": "203-610-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4697 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061869",
            "telephone_number": "203-374-1027",
            "fax_number": "203-610-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "LARRY",
        "middle_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "5874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Burke Gorton, PA-C, MMS
• Goss Health Care
• Bennett S Goss, MD
• Jennifer Mieko Goto, ND
• Rebecca M Gotthelf, PA
• Daniel Scott Gottschall, MD
• Julienne Gousse
• Sahil Goyal, M.D.
• Briana Senae Graham
• Zuleima Graham, LPN

• General Practice Dentistry in Bridgeport, CT
• Providers in Bridgeport, 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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.