Individual
BHAVIN GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
680 BRIDGEPORT AVE, SHELTON, CT 06484-4705
(203) 380-0660
Mailing address
680 BRIDGEPORT AVE, SHELTON, CT 06484-4705
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
064499
NY
1223P0221X
Pediatric Dentistry
Primary
13535
CT
390200000X
Student in an Organized Health Care Education/Training Program
13535
CT
390200000X
Student in an Organized Health Care Education/Training Program
13757
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2022
Last updated
03/25/2026
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