IndividualActive
Robert Stipanov, PA
NPI 1871993576 · Dentist · Bradenton, FL
Provider details
- NPI number
- 1871993576
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
- License
- DN11911 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
6060 53rd Ave E
Suite B
Bradenton, FL 34203-9719
Phone: (941) 739-8303
Street-level locationGet directions
Mailing address
6060 53rd Ave E
Bradenton, FL 34203-9719
Registry dates
- Enumerated
- 2014-08-29
- Last updated
- 2025-07-30
- Certified
- 2025-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.