OrganizationActive
Shippan Dental Center
NPI 1063758183 · General Practice Dentistry · Stamford, CT
Shippan Dental Center is a General Practice Dentistry organization in Stamford, CT (NPI 1063758183).
Provider details
- NPI number
- 1063758183
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Olga Goncharova, Owner(203) 658-8797
- License
- 8984 (CT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
587 Elm St
Shippan Dental Center
Stamford, CT 06902-5113
Phone: (203) 658-8797
Fax: (203) 355-9837
Street-level locationGet directions
Mailing address
316 Hope St
Stamford, CT 06906-1704
Registry dates
- Enumerated
- 2012-12-18
- Last updated
- 2012-12-18
Frequently asked questions
- What is Shippan Dental Center's NPI number?
- Shippan Dental Center's National Provider Identifier (NPI) is 1063758183, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shippan Dental Center?
- Shippan Dental Center is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Shippan Dental Center located?
- Shippan Dental Center's practice location on file with NPPES is 587 Elm St, Stamford, CT 06902-5113.
- What is Shippan Dental Center's phone number?
- The practice phone number listed in the NPPES registry for Shippan Dental Center is (203) 658-8797.
- Who is the authorized official for Shippan Dental Center?
- The authorized official listed on Shippan Dental Center's NPPES record is Olga Goncharova, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shippan Dental Center's NPI active?
- Yes — Shippan Dental Center's NPI (1063758183) is active in the NPPES registry as of the last update on 2012-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.