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NPI 1508917337

IndividualActive

Alan Schupack, DDS

NPI 1508917337 · General Practice Dentistry · Wallingford, CT

Provider details

NPI number: 1508917337
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: 6675 (CT)

Practice location

850 No Main Street Extension

Suite 2b

Wallingford, CT 06492

Phone: (203) 269-4249

Fax: (203) 294-4444

More CT providers

Mailing address

850 No Main Street Extension

Wallingford, CT 06492

Registry dates

Enumerated: 2007-01-16
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Alan Schupack, DDS — NPI 1508917337, Wallingford, CT | NPI Central