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Active NPI 1114404373 Individual Practitioner Male Practitioner

Dr. Ryan William Rengifo , DDS

Dentist - General Practice • Norwalk, CT

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Rengifo, DDS is a registered healthcare professional specializing in Dentist - General Practice in Norwalk, CT. Practice services are available at 360 CONNECTICUT AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

360 Connecticut Ave

Norwalk, CT 068541824

Telephone 2038310080
Associated Practice Facility / Clinic
🏢 Grade A Market Inc Facility NPI 1356486146

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Norwalk, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.3 Yrs
Regional Practice Density
47 Specialists

Practicing in Norwalk, CT (1821 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CT 12323

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Yeonju Son

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1366017121
NPI 1376229500
Verdita Komonaj , RDH

Dental Hygienist

NPI 1528947132

Registered Dental Hygienist

Dr. Reshma Rajan , DDS

Dentist - General Practice

NPI 1780050948

Doctor of Dental Surgery

Andy Yoon

Dentist

NPI 1841990181
Dr. Gauri Reddy , DDS

Dentist - General Practice

NPI 1891146361

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 20, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 20, 2018

Registered at 360 CONNECTICUT AVE, NORWALK, CT 068541824 (Tel: 2038310080)

📍
Updated Business Mailing Address July 20, 2018

Registered at 20910 41ST AVE APT 6A, BAYSIDE, NY 113611908 (Tel: 9176071281)

👤
Provider Name / Credentials Updated July 20, 2018

Recorded as RYAN RENGIFO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2018

Dentist (License #12323 in CT)

🟢
Initial NPI Registration & Enumeration July 20, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114404373
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2018
Last Update: July 20, 2018
Sole Proprietor: No

Mailing Address

20910 41st Ave Apt 6a

Bayside, NY 113611908

Phone: 9176071281

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.