MAMTA VIPIN PATEL DDS NPI 1417970575

NPI Information

  • NPI: 1417970575
  • Provider Name: MAMTA VIPIN PATEL, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 124 BROAD ST
    STAMFORD, CT
    ZIP 06901
  • Phone: (860) 861-3531

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NPI Details

Mamta Vipin Patel, DDS is a general practice dentist in Stamford, CT. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Mamta Vipin Patel, DDS NPI is 1417970575. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

124 BROAD ST
STAMFORD, CT
ZIP 06901-702
Phone: (860) 861-3531
Fax: (203) 348-0643

The enumeration date for this NPI number is 7/26/2006 and was last updated on 5/20/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice54329NEW YORKNo
21223G0001XDentistGeneral Practice009630CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1004236354MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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