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

Madison Dental Spa

Organization Dental Clinic/Center · NPI 1790343051

Madison Dental Spa is a Dental Clinic/Center in Madison, Connecticut. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

90 Wall St Ste 100
Madison, CT 06443-3128
Phone: (203) 245-5101
Fax: (203) 245-5121
Show map & directions

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

Additional practice locations (1)

  • 90 Wall St Ste 100, Madison, CT 06443-3128 — (203) 245-5101

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1790343051
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Moumen Almouzayn — Dentist · (203) 245-5121
Other names Madison Dental Spa
NPI enumeratedJune 3, 2019
Last updated in NPPESJune 3, 2019
Mailing address90 Wall St Ste 100, Madison, CT 06443-3128