MYSTIC WESTERLY ORTHODONTICS, PC
NPI 1174933162
Dentist - Orthodontics and Dentofacial Orthopedics in Mystic, CT

Active since April 30, 2014
117 COW HILL RD, MYSTIC, CT 06355(860) 536-9661 Get Directions Write a Review

NPPES record last updated: April 30, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mystic Westerly Orthodontics, Pc NPPES

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

MYSTIC WESTERLY ORTHODONTICS, PC (NPI 1174933162) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Mystic, Connecticut and active in the NPI registry since April 2014. The organization lists Jeffrey Todd Kozlowski, President, as its authorized official.

NPPES Registry Identity

NPI1174933162
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameMYSTIC WESTERLY ORTHODONTICS, PC
Location Address117 COW HILL RDMystic, CT 06355-1449
Mailing Address117 Cow Hill RdMystic, CT 06355-1449 · (860) 536-9661
Organization SubpartNo
Authorized OfficialJeffrey Todd KozlowskiPresident · (860) 442-4421
Enumeration DateApril 30, 2014
NPI 1174933162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in CT · 8376
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.
117 COW HILL RD, Mystic, CT 06355

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

Other Providers at the Same Location NPPES 5

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

Dentist (Orthodontics and Dentofacial Orthopedics)
117 COW HILL RD
MYSTIC, CT 06355
Dentist (General Practice)
117 COW HILL RD
MYSTIC, CT 06355
Dentist (General Practice)
117 COW HILL RD
MYSTIC, CT 06355
Dentist (General Practice)
117 COW HILL RD
MYSTIC, CT 06355
Dentist (General Practice)
117 COW HILL RD
MYSTIC, CT 06355

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 Mystic Westerly Orthodontics, PC's NPI number?

The NPI number for Mystic Westerly Orthodontics, PC is 1174933162. It was assigned to this organization in the NPPES registry on April 30, 2014.

Where is Mystic Westerly Orthodontics, PC located?

Mystic Westerly Orthodontics, PC is located at 117 Cow Hill Rd, Mystic, CT 06355. The listed phone number is (860) 536-9661.

What is Mystic Westerly Orthodontics, PC'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 Mystic Westerly Orthodontics, PC was last updated on April 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.