Provider Demographics
NPI:1720218886
Name:GOGATE, HRISHIKESH (DDS)
Entity Type:Individual
Prefix:
First Name:HRISHIKESH
Middle Name:
Last Name:GOGATE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:RISHI
Other - Middle Name:
Other - Last Name:GOGATE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:90 DEARFIELD DRIVE
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06831
Mailing Address - Country:US
Mailing Address - Phone:203-717-1717
Mailing Address - Fax:
Practice Address - Street 1:90 DEARFIELD DR
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06831-5349
Practice Address - Country:US
Practice Address - Phone:203-717-1717
Practice Address - Fax:203-717-1719
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-22
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT10089122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1720218886OtherDELTA DENTAL