1. Home
  2. Directory
  3. Connecticut
  4. Wallingford
  5. Clinic Center
  6. NPI Profile

BROAD STREET DENTAL
NPI 1346125713
Clinic/Center - Dental in Wallingford, CT

Active since August 06, 2025
1241 S BROAD ST, WALLINGFORD, CT 06492(302) 626-5745(203) 626-9213 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Broad Street Dental NPPES

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

BROAD STREET DENTAL (NPI 1346125713) is a healthcare organization registered as a dental in Wallingford, Connecticut and active in the NPI registry since August 2025. The organization lists Ayesha N Ali, Dentist, as its authorized official.

NPPES Registry Identity

NPI1346125713
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBROAD STREET DENTAL
Location Address1241 S BROAD STWallingford, CT 06492-1737
Mailing Address225 Hyland TerOrange, CT 06477-1105 · (347) 691-7926
Phone(302) 626-5745
Fax(203) 626-9213
Organization SubpartNo
Authorized OfficialAyesha N AliDentist · (347) 691-7926
Enumeration DateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
✔ NPI 1346125713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1241 S BROAD ST, Wallingford, CT 06492
Open in Google Maps ↗

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.

NOVA DENTAL EAST LLC
Dentist (General Practice)
1241 S BROAD ST
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 626-5745
NORTHEAST HEARING LLC
Hearing Aid Equipment
1241 S BROAD ST
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 630-7045

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 Broad Street Dental's NPI number?

The NPI number for Broad Street Dental is 1346125713. It was assigned to this organization in the NPPES registry on August 6, 2025.

Where is Broad Street Dental located?

Broad Street Dental is located at 1241 S Broad St, Wallingford, CT 06492. The listed phone number is (302) 626-5745.

What is Broad Street Dental's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Broad Street Dental was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.