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

Mashantucket Pequot Tribal Council

Organization Family Medicine Physician · NPI 1508140922

Mashantucket Pequot Tribal Council is a Family Medicine Physician in Ledyard, Connecticut. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

75 Route 2
Ledyard, CT 06339-1128
Phone: (860) 312-8000
Fax: (860) 312-8001
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1508140922
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shanna Reels — Tribal Health Services Director · (860) 312-8014
NPI enumeratedOctober 4, 2011
Last updated in NPPESSeptember 9, 2014
Mailing addressPo Box 3260, 75 Rt 2, Mashantucket, CT 06339-3260

Other providers in Ledyard