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

Broad Street Dental

Organization Dental Clinic/Center · NPI 1346125713

Broad Street Dental is a Dental Clinic/Center in Wallingford, Connecticut. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1241 S Broad St
Wallingford, CT 06492-1737
Phone: (302) 626-5745
Fax: (203) 626-9213
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1346125713
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ayesha Ali — Dentist · (347) 691-7926
NPI enumeratedAugust 6, 2025
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing address225 Hyland Ter, Orange, CT 06477-1105

Other providers in Wallingford