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

Northeast Dental of Connecticut, PC

Organization Dentist · NPI 1619374881

Northeast Dental of Connecticut, PC is a Dentist in Shelton, 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

534 Shelton Ave
Shelton, CT 06484-2804
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 8979 (CT)

Record details

NPI number1619374881
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Virginia Wicke — Coo · (732) 610-8265
NPI enumeratedDecember 3, 2014
Last updated in NPPESDecember 3, 2014
Mailing address115 W Century Rd, Suite 300, Paramus, NJ 07652-1450

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