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

Nova Dental East LLC

Organization Dentist · NPI 1629313077

Nova Dental East LLC is a Dentist in Wallingford, Connecticut. Licensed in Connecticut. Registered with an NPI since 2012.

Licensed in
CT
In the registry since
2012
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1241 S Broad St
Wallingford, CT 06492-1737
Phone: (203) 626-5745
Fax: (203) 626-9213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 9252 (CT)
Dentist Taxonomy 122300000X · Licence 9252 (CT)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 9252 (CT)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence 9252 (CT)

Record details

NPI number1629313077
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Asma Ijaz — Owner · (203) 626-5745
NPI enumeratedDecember 11, 2012
Last updated in NPPESMay 7, 2015
Mailing address1241 S Broad St, Wallingford, CT 06492-1737

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