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Shippan Dental Center

General Practice Dentistry in Stamford, CT · enumerated 2012 · authorized official Olga Goncharova, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063758183

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Registry record

Entity type Organization (Type 2)
Legal business name Shippan Dental Center
Practice address 587 Elm St, Shippan Dental Center, Stamford, CT, 06902
Phone (203) 658-8797
Fax (203) 355-9837
Enumeration date Dec 18, 2012
Last updated in NPPES Dec 18, 2012

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 8984 (CT) Primary

Authorized official

Name Olga Goncharova
Title Owner
Phone (203) 658-8797

Other identifiers

Identifier Type State Issuer
002089846 Medicaid CT -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Shippan Dental Center?
NPPES lists Olga Goncharova (Owner) as the authorized official for this organization.
What is the NPI number for Shippan Dental Center?
The NPI for Shippan Dental Center is 1063758183, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-12-18.