OrganizationActive
Mystic Dental Group, P.C.
NPI 1376700997 · General Practice Dentistry · Mystic, CT
Mystic Dental Group, P.C. is a General Practice Dentistry organization in Mystic, CT (NPI 1376700997).
Provider details
- NPI number
- 1376700997
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Tara Cisco, Manager(860) 536-4951
- License
- 8531 (CT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES 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
117 Cow Hill Rd
Mystic, CT 06355-1449
Phone: (860) 536-4951
Street-level locationGet directions
Mailing address
117 Cow Hill Rd
Mystic, CT 06355-1449
Registry dates
- Enumerated
- 2008-05-21
- Last updated
- 2008-05-21
Frequently asked questions
- What is Mystic Dental Group, P.C.'s NPI number?
- Mystic Dental Group, P.C.'s National Provider Identifier (NPI) is 1376700997, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mystic Dental Group, P.C.?
- Mystic Dental Group, P.C. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Mystic Dental Group, P.C. located?
- Mystic Dental Group, P.C.'s practice location on file with NPPES is 117 Cow Hill Rd, Mystic, CT 06355-1449.
- What is Mystic Dental Group, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Mystic Dental Group, P.C. is (860) 536-4951.
- Who is the authorized official for Mystic Dental Group, P.C.?
- The authorized official listed on Mystic Dental Group, P.C.'s NPPES record is Tara Cisco, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mystic Dental Group, P.C.'s NPI active?
- Yes — Mystic Dental Group, P.C.'s NPI (1376700997) is active in the NPPES registry as of the last update on 2008-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.