Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrew W Basta, DENTIST

Individual provider Dentist · NPI 1265421325

Andrew W Basta, DENTIST is a Dentist in Stamford, Connecticut. Licensed in Connecticut and New York. Registered with an NPI since 2005.

Licensed in
CT, NY
In the registry since
2005
Specialties on file
2
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Practice location Address checks out

130 Myrtle Ave Unit G
Stamford, CT 06902-3932
Phone: (973) 632-7971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 009302 (CT)
Dentist Taxonomy 122300000X · Licence 0511631 (NY)

Record details

NPI number1265421325
Entity typeIndividual (Type 1)
GenderMale
Credentials DENTIST
Sole proprietorNo
NPI enumeratedOctober 20, 2005
Last updated in NPPESMarch 16, 2008

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