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

Northeast Dental of Connecticut, PC

Organization Dentist · NPI 1619374881

Northeast Dental of Connecticut, PC provides Dentist services in Shelton, Connecticut. Licensed in Connecticut. Registered with an NPI since 2014.

Licensed in
CT
In the registry since
2014
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

534 Shelton Ave
Shelton, CT 06484-2804 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 8979 (CT)

Record details

NPI number1619374881
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Virginia Wicke — Coo · (732) 610-8265
NPI enumeratedDecember 3, 2014
Last updated in NPPESDecember 3, 2014
Mailing address115 W Century Rd, Suite 300, Paramus, NJ 07652-1450

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