PROFESSIONAL DENTAL ALLIANCE OF CT - ORTHO, PLLC
NPI 1053136846
Dentist - Orthodontics and Dentofacial Orthopedics in Fairfield, CT

Active since November 18, 2024
1476 POST RD, FAIRFIELD, CT 06824(203) 292-9596 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Professional Dental Alliance Of Ct - Ortho, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROFESSIONAL DENTAL ALLIANCE OF CT - ORTHO, PLLC (NPI 1053136846), doing business as First Impressions Orthodontics, is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Fairfield, Connecticut and active in the NPI registry since November 2024. The organization maintains 2 additional practice locations and lists Erica Quinteros, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1053136846
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NamePROFESSIONAL DENTAL ALLIANCE OF CT - ORTHO, PLLC
Location Address1476 POST RDFairfield, CT 06824-5937
Mailing Address125 Enterprise DrPittsburgh, PA 15275-1223
Organization SubpartNo
Authorized OfficialErica QuinterosCredentialing · (724) 901-1964
Enumeration DateNovember 18, 2024
NPPES CertifiedNovember 15, 2024
NPI 1053136846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
1476 POST RD, Fairfield, CT 06824

Other Names 1

Doing Business AsFirst Impressions Orthodontics

Secondary Practice Locations 2

Location 1493 Westport AveNorwalk, CT 06851-4411 · Phone (475) 470-0110
Location 2324 Elm St Ste 101BMonroe, CT 06468-2283 · Phone (203) 292-9595

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
1476 POST RD
FAIRFIELD, CT 06824
Dentist (Orthodontics and Dentofacial Orthopedics)
1476 POST RD
FAIRFIELD, CT 06824
Dentist (Pediatric Dentistry)
1476 POST RD
FAIRFIELD, CT 06824

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Professional Dental Alliance Of Ct - Ortho, PLLC's NPI number?

The NPI number for Professional Dental Alliance Of Ct - Ortho, PLLC is 1053136846. It was assigned to this organization in the NPPES registry on November 18, 2024. The provider is doing business as First Impressions Orthodontics.

Where is Professional Dental Alliance Of Ct - Ortho, PLLC located?

Professional Dental Alliance Of Ct - Ortho, PLLC is located at 1476 Post Rd, Fairfield, CT 06824. The listed phone number is (203) 292-9596.

What is Professional Dental Alliance Of Ct - Ortho, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Professional Dental Alliance Of Ct - Ortho, PLLC was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.