Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Northeasr Dental of Long Wharf PC

Organization Dentist · NPI 1245627561

Northeasr Dental of Long Wharf PC provides Dentist services in New Haven, Connecticut. Licensed in Connecticut. Registered with an NPI since 2015.

Licensed in
CT
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 Long Wharf Dr
New Haven, CT 06511-5991 Not confirmed with CMS for 11 years — call before visiting
Phone: (732) 610-8265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN20704 (CT)

Record details

NPI number1245627561
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Virginia Wicke — Coo · (732) 610-8265
NPI enumeratedApril 24, 2015
Last updated in NPPESApril 24, 2015
Mailing address1 Long Wharf Dr, New Haven, CT 06511-5991

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