LIFE LONG DENTAL CARE OF NORTHFORD
NPI 1811488356
Dentist - General Practice in Northford, CT

Active since May 21, 2018
1355 MIDDLETOWN AVE, NORTHFORD, CT 06472(203) 484-0456 Get Directions Write a Review

NPPES record last updated: May 21, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Life Long Dental Care Of Northford NPPES

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

LIFE LONG DENTAL CARE OF NORTHFORD (NPI 1811488356) is a healthcare organization registered as a general practice in Northford, Connecticut and active in the NPI registry since May 2018. The organization lists Andrew Matta, Cmo/owner, as its authorized official.

NPPES Registry Identity

NPI1811488356
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePROFESSIONAL DENTAL ALLIANCE OF NORTHFORD, PLLC
Location Address1355 MIDDLETOWN AVENorthford, CT 06472-1382
Mailing Address11 S Mill St Ste 200New Castle, PA 16101-3680 · (724) 698-2500 · Fax (724) 652-4619
Organization SubpartNo
Authorized OfficialAndrew MattaCmo/owner · (724) 698-2500
Enumeration DateMay 21, 2018
NPI 1811488356 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.
1355 MIDDLETOWN AVE, Northford, CT 06472

Other Names 1

Doing Business AsLife Long Dental Care Of Northford

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.

Dentist
1355 MIDDLETOWN AVE
NORTHFORD, CT 06472
Dentist (General Practice)
1355 MIDDLETOWN AVE
NORTHFORD, CT 06472
Dentist (General Practice)
1355 MIDDLETOWN AVE
NORTHFORD, CT 06472
Dentist (General Practice)
1355 MIDDLETOWN AVE
NORTHFORD, CT 06472
Dentist (General Practice)
1355 MIDDLETOWN AVE
NORTHFORD, CT 06472

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 Professional Dental Alliance Of Northford, PLLC's NPI number?

The NPI number for Professional Dental Alliance Of Northford, PLLC is 1811488356. It was assigned to this organization in the NPPES registry on May 21, 2018. The provider is doing business as Life Long Dental Care Of Northford.

Where is Professional Dental Alliance Of Northford, PLLC located?

Professional Dental Alliance Of Northford, PLLC is located at 1355 Middletown Ave, Northford, CT 06472. The listed phone number is (203) 484-0456.

What is Professional Dental Alliance Of Northford, PLLC'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 Professional Dental Alliance Of Northford, PLLC was last updated on May 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.