OrganizationActive
Larissa Gushansky, DDS Inc.
NPI 1154516680 · General Practice Dentistry · South Gate, CA
Provider details
- NPI number
- 1154516680
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Larissa Gushansky, Owner(323) 563-9124
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
3175 Firestone Blvd Ste 200
South Gate, CA 90280-2951
Phone: (323) 563-9124
Fax: (323) 563-9814
Street-level locationGet directions
Mailing address
3175 Firestone Blvd Ste 200
South Gate, CA 90280-2951
Other names (DBA / former)
- Other name
- State Dental Inc.
Registry dates
- Enumerated
- 2007-09-07
- Last updated
- 2021-11-30
- Certified
- 2021-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.