| Dr. Shportko Pllc | |
|
95 Morgan St Apt 1a Stamford CT 06905-5411 | |
| (914) 841-6954 | |
| Not Available |
| Full Name | Dr. Shportko Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 95 Morgan St Apt 1a, Stamford, Connecticut |
| Authorized Official Name and Position | Andrii Shportko (OWNER) |
| Authorized Official Contact | 9148416954 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Shportko Pllc 95 Morgan St Apt 1a Stamford CT 06905-5411 Ph: (914) 841-6954 | Dr. Shportko Pllc 95 Morgan St Apt 1a Stamford CT 06905-5411 Ph: (914) 841-6954 |
| NPI Number | 1427661453 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 09/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427661453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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