Provider Demographics
NPI:1003664715
Name:GD DENTISTRY OF STAMFORD PLLC
Entity type:Organization
Organization Name:GD DENTISTRY OF STAMFORD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ARSEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MURDAKHAYEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-998-7888
Mailing Address - Street 1:70 MILL RIVER ST STE UL2
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-3725
Mailing Address - Country:US
Mailing Address - Phone:203-998-7888
Mailing Address - Fax:
Practice Address - Street 1:70 MILL RIVER ST STE UL2
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-3725
Practice Address - Country:US
Practice Address - Phone:203-998-7888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental