OrganizationActive
Broad Street Dental
NPI 1346125713 · Dental Clinic/Center · Wallingford, CT
Broad Street Dental is a Dental Clinic/Center organization in Wallingford, CT (NPI 1346125713).
Provider details
- NPI number
- 1346125713
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ayesha Ali, Dentist(347) 691-7926
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1241 S Broad St
Wallingford, CT 06492-1737
Phone: (302) 626-5745
Fax: (203) 626-9213
Street-level locationGet directions
Mailing address
225 Hyland Ter
Orange, CT 06477-1105
Registry dates
- Enumerated
- 2025-08-06
- Last updated
- 2025-08-06
- Certified
- 2025-08-06
Frequently asked questions
- What is Broad Street Dental's NPI number?
- Broad Street Dental's National Provider Identifier (NPI) is 1346125713, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broad Street Dental?
- Broad Street Dental is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Broad Street Dental located?
- Broad Street Dental's practice location on file with NPPES is 1241 S Broad St, Wallingford, CT 06492-1737.
- What is Broad Street Dental's phone number?
- The practice phone number listed in the NPPES registry for Broad Street Dental is (302) 626-5745.
- Who is the authorized official for Broad Street Dental?
- The authorized official listed on Broad Street Dental's NPPES record is Ayesha Ali, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broad Street Dental's NPI active?
- Yes — Broad Street Dental's NPI (1346125713) is active in the NPPES registry as of the last update on 2025-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.