Active NPI
Family Practice Dentistry of Ridgefield LLC
- General Practice Dentistry
- Ridgefield, CT
National Provider Identifier
1982423778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- FAMILY PRACTICE DENTISTRY OF RIDGEFIELD LLC
- Practice address
- 710 Branchville Rd
Ridgefield, CT 06877-6129 - Phone
- (203) 544-8771
- NPI assigned
- Oct 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Efstathios Giannoutsos, DDS
- Title
- Owner
- Phone
- (203) 544-8771
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
710 Branchville Rd
Ridgefield, CT 06877-6129
Mailing address
710 Branchville Rd
Ridgefield, CT 06877-6129
Phone (203) 544-8771
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Ridgefield, CT
- NPI 1497979223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728345600000",
"number": "1982423778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 BRANCHVILLE RD",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068776129",
"telephone_number": "203-544-8771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 BRANCHVILLE RD",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068776129",
"telephone_number": "203-544-8771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY PRACTICE DENTISTRY OF RIDGEFIELD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-08",
"last_updated": "2024-10-08",
"certification_date": "2024-10-04",
"status": "A",
"authorized_official_last_name": "GIANNOUTSOS",
"authorized_official_first_name": "EFSTATHIOS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-544-8771",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgefield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.