Individual provider Active NPI

Bozena Joanna Kierski, DDS

  • General Practice Dentistry
  • Stamford, CT
National Provider Identifier
1962495077
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
008209 Issued in CT
Practice address
44 Strawberry Hill Ave
Suite 9
Stamford, CT 06902-2632
Phone
(203) 348-5612
Fax
(203) 348-2030
NPI assigned
Aug 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 008209 CT Primary

Addresses

Primary practice location

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

Mailing address

44 Strawberry Hill Ave
Suite 9
Stamford, CT 06902-2632
Phone (203) 348-5612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
008209CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Supreme Dental, LLC General Practice PastSince Apr 20, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962495077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 STRAWBERRY HILL AVE",
            "address_2": "SUITE 9",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022632",
            "telephone_number": "203-348-5612",
            "fax_number": "203-348-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 STRAWBERRY HILL AVE",
            "address_2": "SUITE 9",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022632",
            "telephone_number": "203-348-5612",
            "fax_number": "203-348-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIERSKI",
        "first_name": "BOZENA",
        "middle_name": "JOANNA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "008209",
            "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 Jul 13, 2026; 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.