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CLOVER DENTAL CARE LLC
NPI 1194431056
Dentist - General Practice in Wallingford, CT

Active since January 24, 2023
1209 S BROAD ST, WALLINGFORD, CT 06492(203) 934-3400 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clover Dental Care Llc NPPES

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

CLOVER DENTAL CARE LLC (NPI 1194431056) is a healthcare organization registered as a general practice in Wallingford, Connecticut and active in the NPI registry since January 2023. The organization lists Ryan Ku, Member, as its authorized official.

NPPES Registry Identity

NPI1194431056
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCLOVER DENTAL CARE LLC
Location Address1209 S BROAD STWallingford, CT 06492-1714
Mailing Address1209 S Broad StWallingford, CT 06492-1714 · (203) 934-3400
Phone(203) 934-3400
Organization SubpartNo
Authorized OfficialRyan KuMember · (713) 591-5434
Enumeration DateJanuary 24, 2023
Last NPPES UpdateJanuary 30, 2023
NPPES CertifiedJanuary 30, 2023
✔ NPI 1194431056 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.
1209 S BROAD ST, Wallingford, CT 06492
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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 2

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

HEALTHMED FAMILY CARE
Family Medicine
1209 S BROAD ST
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 916-4666
SLEEP APNEA CENTER OF CONNECTICUT LLC
Dentist (General Practice)
1209 S BROAD ST
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 202-2764

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 Clover Dental Care LLC's NPI number?

The NPI number for Clover Dental Care LLC is 1194431056. It was assigned to this organization in the NPPES registry on January 24, 2023.

Where is Clover Dental Care LLC located?

Clover Dental Care LLC is located at 1209 S Broad St, Wallingford, CT 06492. The listed phone number is (203) 934-3400.

What is Clover Dental Care LLC'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 Clover Dental Care LLC was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.