CONNECTICUT DENTAL PROFESSIONALS, P.C.
NPI 1104387489
Dentist - General Practice in Norwalk, CT

Q: What is Connecticut Dental Professionals, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since March 28, 2019

111 EAST AVE STE 200, NORWALK, CT 06851(203) 866-8585 Get Directions Write a Review

NPPES record last updated: March 28, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Connecticut Dental Professionals, P.c. NPPES

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

CONNECTICUT DENTAL PROFESSIONALS, P.C. (NPI 1104387489), doing business as East Avenue Dental Care, is a healthcare organization registered as a general practice in Norwalk, Connecticut and active in the NPI registry since March 2019. The organization lists Tabatha Lemke, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1104387489

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameCONNECTICUT DENTAL PROFESSIONALS, P.C.

Location Address111 EAST AVE STE 200Norwalk, CT 06851-5014

Mailing Address111 East Ave Ste 200Norwalk, CT 06851-5014

Phone(203) 866-8585

Organization SubpartYes

Authorized OfficialTabatha LemkeCredentialing Coordinator · (217) 540-6078

Enumeration DateMarch 28, 2019

✔ NPI 1104387489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

111 EAST AVE STE 200, Norwalk, CT 06851

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Other Names 1

Doing Business AsEast Avenue Dental Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Connecticut Dental Professionals, P.C.'s NPI number?

The NPI number for Connecticut Dental Professionals, P.C. is 1104387489. It was assigned to this organization in the NPPES registry on March 28, 2019. The provider is doing business as East Avenue Dental Care.

Where is Connecticut Dental Professionals, P.C. located?

Connecticut Dental Professionals, P.C. is located at 111 East Ave Ste 200, Norwalk, CT 06851. The listed phone number is (203) 866-8585.

What is Connecticut Dental Professionals, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Connecticut Dental Professionals, P.C. was last updated on March 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.