Organization Active NPI

Dent Plus Family Dentistry LLC

  • General Practice Dentistry
  • Stamford, CT
National Provider Identifier
1861895526
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11204 Issued in CT
Legal business name
DENT PLUS FAMILY DENTISTRY LLC
Practice address
99 Prospect St Unit 1C
Stamford, CT 06901-1636
Phone
(203) 504-2787
NPI assigned
Oct 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Authorized official

Name
Dr. Ivan Makar
Title
Co-Owner
Phone
(203) 504-2786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 11204 CT Primary

Addresses

Primary practice location

99 Prospect St Unit 1C
Stamford, CT 06901-1636

Mailing address

99 Prospect St Unit 1C
Stamford, CT 06901-1636
Phone (203) 504-2786

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1861895526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 PROSPECT ST UNIT 1C",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069011636",
            "telephone_number": "203-504-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 PROSPECT ST UNIT 1C",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069011636",
            "telephone_number": "203-504-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENT PLUS FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-08",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "MAKAR",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "203-504-2786",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "11204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.