OrganizationActive
Advanced Dental of Wallingford LLC
NPI 1942808084 · Dental Clinic/Center · Wallingford, CT
Provider details
- NPI number
- 1942808084
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ryan Ku, Owner(713) 591-5434
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
44 Fair St
Wallingford, CT 06492-4214
Phone: (713) 591-5434
Approximate (ZIP-level) locationGet directions
Mailing address
910 Boston Post Rd Ofc
West Haven, CT 06516-1845
Registry dates
- Enumerated
- 2020-10-12
- Last updated
- 2020-10-12
- Certified
- 2020-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.