Provider Demographics
NPI:1346095676
Name:GYALPO, TENZIN KUNKHEN (DMD)
Entity type:Individual
Prefix:
First Name:TENZIN
Middle Name:KUNKHEN
Last Name:GYALPO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 PACIFIC ST APT 1805
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-0721
Mailing Address - Country:US
Mailing Address - Phone:917-587-1346
Mailing Address - Fax:
Practice Address - Street 1:235 MAIN ST STE 13
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-2720
Practice Address - Country:US
Practice Address - Phone:203-866-7164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-19
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6001527-15122300000X
CT145061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist