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

Mystic Westerly Orthodontics, PC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1174933162

Mystic Westerly Orthodontics, PC is an Orthodontics and Dentofacial Orthopedics Dentistry in Mystic, 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

117 Cow Hill Rd
Mystic, CT 06355-1449
Phone: (860) 536-9661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 8376 (CT)

Record details

NPI number1174933162
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Kozlowski — President · (860) 442-4421
NPI enumeratedApril 30, 2014
Last updated in NPPESApril 30, 2014
Mailing address117 Cow Hill Rd, Mystic, CT 06355-1449

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