OrganizationActive
Ident PC
NPI 1194301036 · General Practice Dentistry · Stamford, CT
Provider details
- NPI number
- 1194301036
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Adam Sposato, Operations Director(646) 208-1456
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
711 Canal St # 250
Stamford, CT 06902-6094
Phone: (203) 548-0826
Street-level locationGet directions
Mailing address
200 Westage Business Ctr Dr Ste 233
Fishkill, NY 12524-2262
Additional practice locations (2)
- 330 Boston Post RdDarien, CT 06820-3600Phone: (203) 548-0826
- 75 Holly Hill LnGreenwich, CT 06830-6098Phone: (203) 548-0826
Registry dates
- Enumerated
- 2021-03-22
- Last updated
- 2021-03-22
- Certified
- 2021-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.