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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANDREW W BASTA, DENTIST

Active

ANDREW W BASTA, DENTIST is a Dentist healthcare provider located in STAMFORD, Connecticut. NPI 1265421325 is currently active in the NPPES registry. Verify at CMS.

Dentist · STAMFORD, CT

Registration Details

NPI Number
1265421325
Provider Type
Individual
Gender
Male
NPI Issued
Oct 20, 2005 (20.632082303601 yrs)
Last Updated
Mar 16, 2008
Licenses
009302 (CT)
0511631 (NY)

Practice Information

Address
130 MYRTLE AVE
UNIT G
STAMFORD, CT, 069023932
Browse CT providers · Browse ZIP 06902
Phone
9736327971
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in STAMFORD, CT

Name Credential NPI
DR. MILES HUGH BONOM DDS 1811998339
DR. ALAN SCOTT BARR D.D.S. 1255369799
DR. STEPHEN HARRIS WOLPO DDS 1831108349
DR. KENNETH C. CHILDS D.D.S. 1689787657
MR. MICHAEL JAMES MOCCIO DDS 1972609675
GLORIA DIAZ DDS 1427149459
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.