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MYSTIC DENTAL GROUP, P.C.
NPI 1376700997
Dentist - General Practice in Mystic, CT

Active since May 21, 2008
117 COW HILL RD, MYSTIC, CT 06355(860) 536-4951 Get Directions Write a Review

NPPES record last updated: May 21, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mystic Dental Group, P.c. NPPES

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

MYSTIC DENTAL GROUP, P.C. (NPI 1376700997) is a healthcare organization registered as a general practice in Mystic, Connecticut and active in the NPI registry since May 2008. The organization lists Tara Cisco, Manager, as its authorized official.

NPPES Registry Identity

NPI1376700997
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMYSTIC DENTAL GROUP, P.C.
Location Address117 COW HILL RDMystic, CT 06355-1449
Mailing Address117 Cow Hill RdMystic, CT 06355-1449
Phone(860) 536-4951
Organization SubpartNo
Authorized OfficialTara CiscoManager · (860) 536-4951
Enumeration DateMay 21, 2008
✔ NPI 1376700997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CT · 8531
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.
117 COW HILL RD, Mystic, CT 06355
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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 5

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

DR. MICHAEL THOMAS DEPASCALE DMD, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
117 COW HILL RD
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-9661
MYSTIC WESTERLY ORTHODONTICS, PC
Dentist (Orthodontics and Dentofacial Orthopedics)
117 COW HILL RD
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-9661
DR. MICHAEL SMYLE D.D.S.
Dentist (General Practice)
117 COW HILL RD
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-4951
DR. MARK FALLON D.M.D,
Dentist (General Practice)
117 COW HILL RD
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-4951
DR. JOSEPH KUZMIC D.D.S.
Dentist (General Practice)
117 COW HILL RD
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-4951

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 Dental Group, P.C.'s NPI number?

The NPI number for Mystic Dental Group, P.C. is 1376700997. It was assigned to this organization in the NPPES registry on May 21, 2008.

Where is Mystic Dental Group, P.C. located?

Mystic Dental Group, P.C. is located at 117 Cow Hill Rd, Mystic, CT 06355. The listed phone number is (860) 536-4951.

What is Mystic Dental Group, 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 Mystic Dental Group, P.C. was last updated on May 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.