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

Northeasr Dental of Long Wharf PC

Organization Dentist · NPI 1245627561

Northeasr Dental of Long Wharf PC is a Dentist in New Haven, Connecticut. Licensed in Connecticut. Registered with an NPI since 2015.

Licensed in
CT
In the registry since
2015
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

1 Long Wharf Dr
New Haven, CT 06511-5991
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 DN20704 (CT)

Record details

NPI number1245627561
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Virginia Wicke — Coo · (732) 610-8265
NPI enumeratedApril 24, 2015
Last updated in NPPESApril 24, 2015
Mailing address1 Long Wharf Dr, New Haven, CT 06511-5991

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