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NOVA DENTAL EAST LLC
NPI 1629313077
Dentist - General Practice in Wallingford, CT

Active since December 11, 2012
1241 S BROAD ST, WALLINGFORD, CT 06492(203) 626-5745(203) 626-9213 Get Directions Write a Review

NPPES record last updated: May 7, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nova Dental East Llc NPPES

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

NOVA DENTAL EAST LLC (NPI 1629313077) is a healthcare organization registered as a general practice in Wallingford, Connecticut and active in the NPI registry since December 2012. The organization lists Asma Ijaz, Owner, as its authorized official.

NPPES Registry Identity

NPI1629313077
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNOVA DENTAL EAST LLC
Location Address1241 S BROAD STWallingford, CT 06492-1737
Mailing Address1241 S Broad StWallingford, CT 06492-1737 · (203) 626-5745 · Fax (203) 626-9213
Phone(203) 626-5745
Fax(203) 626-9213
Organization SubpartNo
Authorized OfficialAsma IjazOwner · (203) 626-5745
Enumeration DateDecember 11, 2012
Last NPPES UpdateMay 7, 2015
✔ NPI 1629313077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CT · 9252
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.
Also ListedDentistTaxonomy 122300000X · License 9252 (CT)
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 9252 (CT)
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X · License 9252 (CT)
1241 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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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.

BROAD STREET DENTAL
Clinic/Center (Dental)
1241 S BROAD ST
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (302) 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 Nova Dental East LLC's NPI number?

The NPI number for Nova Dental East LLC is 1629313077. It was assigned to this organization in the NPPES registry on December 11, 2012.

Where is Nova Dental East LLC located?

Nova Dental East LLC is located at 1241 S Broad St, Wallingford, CT 06492. The listed phone number is (203) 626-5745.

What is Nova Dental East LLC's specialty?

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

What insurance does Nova Dental East LLC accept?

Health plans from UnitedHealthcare list Nova Dental East LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nova Dental East LLC was last updated on May 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.