NOVA DENTAL NORTH LLC NPI 1982085270

NPI Information

  • NPI: 1982085270
  • Provider Name: NOVA DENTAL NORTH LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 136 BERLIN RD
    CROMWELL, CT
    ZIP 06416
  • Phone: (860) 358-9040

Map and Directions

Get Directions

NPI Details

NOVA DENTAL NORTH LLC is a general practice dentist in Cromwell, CT. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. NOVA DENTAL NORTH LLC NPI is 1982085270. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

136 BERLIN RD
CROMWELL, CT
ZIP 06416-627
Phone: (860) 358-9040
Fax: (860) 358-9042

The provider's authorized official is Asma Ijaz .
The authorized official title is Owner and has the following contact phone number (203) 234-3900.

The enumeration date for this NPI number is 6/12/2015 and was last updated on 6/12/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery9252CONNECTICUTNo
21223X0400XDentistOrthodontics and Dentofacial Orthopedics9252CONNECTICUTNo
31223P0700XDentistProsthodontics9252CONNECTICUTNo
41223P0221XDentistPediatric Dentistry9252CONNECTICUTNo
51223P0300XDentistPeriodontics9252CONNECTICUTNo
61223G0001XDentistGeneral Practice9252CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.