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Active NPI 1417970575 Individual Practitioner Female Practitioner

Dr. Mamta Vipin Patel , DDS

Dentist - General Practice • Stamford, CT

Professional Overview & Biography Verified Profile Summary

Dr. Mamta Patel, DDS is a registered healthcare professional specializing in Dentist - General Practice in Stamford, CT. Practice services are available at 124 BROAD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

124 Broad St

Stamford, CT 069012702

Telephone 2033247777
Fax 2033480643
Associated Practice Facility / Clinic
🏢 Stamford Dental Spa Pc Facility NPI 1356731632

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Stamford, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 18.3 Yrs
Regional Practice Density
95 Specialists

Practicing in Stamford, 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

CMS Verified: 2026-06-22
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CT 009630

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License NY 54329

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
004236354 (CT)

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1689980013

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 20, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location May 20, 2011

Registered at 124 BROAD ST, STAMFORD, CT 069012702 (Tel: 8608613531)

📍
Updated Business Mailing Address May 20, 2011

Registered at 124 BROAD ST, STAMFORD, CT 069012702 (Tel: 8608613531)

👤
Provider Name / Credentials Updated May 20, 2011

Recorded as MAMTA PATEL, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2011

Dentist (License #009630 in CT)

🟢
Initial NPI Registration & Enumeration July 26, 2006

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: 1417970575
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2006
Last Update: June 22, 2026
Sole Proprietor: Yes

Mailing Address

124 Broad St

Stamford, CT 069012702

Phone: 2033247777

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.