OrganizationActive
Northeast Dental of Connecticut,pc
NPI 1619374881 · Dentist · Shelton, CT
Northeast Dental of Connecticut,pc is a Dentist organization in Shelton, CT (NPI 1619374881).
Provider details
- NPI number
- 1619374881
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Virginia Wicke, Coo(732) 610-8265
- License
- 8979 (CT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
534 Shelton Ave
Shelton, CT 06484-2804
Phone: (732) 610-8265
Street-level locationGet directions
Mailing address
115 W Century Rd
Paramus, NJ 07652-1450
Registry dates
- Enumerated
- 2014-12-03
- Last updated
- 2014-12-03
Frequently asked questions
- What is Northeast Dental of Connecticut,pc's NPI number?
- Northeast Dental of Connecticut,pc's National Provider Identifier (NPI) is 1619374881, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Dental of Connecticut,pc?
- Northeast Dental of Connecticut,pc is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Northeast Dental of Connecticut,pc located?
- Northeast Dental of Connecticut,pc's practice location on file with NPPES is 534 Shelton Ave, Shelton, CT 06484-2804.
- What is Northeast Dental of Connecticut,pc's phone number?
- The practice phone number listed in the NPPES registry for Northeast Dental of Connecticut,pc is (732) 610-8265.
- Who is the authorized official for Northeast Dental of Connecticut,pc?
- The authorized official listed on Northeast Dental of Connecticut,pc's NPPES record is Virginia Wicke, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Dental of Connecticut,pc's NPI active?
- Yes — Northeast Dental of Connecticut,pc's NPI (1619374881) is active in the NPPES registry as of the last update on 2014-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.