Active NPIOrganization

Long Island Dentist, PC

Dentist in Wilton, Connecticut

NPI Number1538521703
Practice location
15 Old Ridgefield RD, Wilton, CT 06897-3013
Fax
203-762-7002
Last updated
July 28, 2025

Long Island Dentist, PC is a healthcare organization based in Wilton, CT. Long Island Dentist, PC practices in Wilton, CT. The NPI Number for Long Island Dentist, PC is 1538521703 and holds a License No. 053295 (NY). The current practice location address for Long Island Dentist, PC is 15 Old Ridgefield RD, Wilton, CT 06897-3013 and can be reached out via phone at 203-762-9907 and via fax at 203-762-7002.

Provider Profile Details

NPI Number
1538521703
Provider Name
Long Island Dentist, PC
Provider Entity Type
Organization
Address
15 Old Ridgefield RD, Wilton, CT 06897-3013
Phone Number
203-762-9907
Fax Number
203-762-7002
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Dr. Mariya Malin, DDS · President/ Dentist · 203-762-9907
Other Names
Wilton Smiles (Doing Business As)
Provider Enumeration Date
March 25, 2016
Last Update Date
July 28, 2025
Certification Date
July 28, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Old Ridgefield RD
Wilton, CT 06897-3013
City
Wilton
Zip
06897-3013
Phone Number
203-762-9907
Fax Number
203-762-7002
Wilton, CT 06897Get directions →

Provider Business Mailing Address Details

Address
2250 86TH St
2ND Floor
Brooklyn, NY 11214-4139
City
Brooklyn
State
NY
Zip
11214-4139
Phone Number
718-372-2800
Fax Number
718-372-1090

License Information

License Number
053295
License State
NY
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Long Island Dentist, PC?

The NPI number of Long Island Dentist, PC is 1538521703. It was assigned on March 25, 2016 and is currently active in the NPPES registry.

What is the specialty of Long Island Dentist, PC?

Long Island Dentist, PC is registered under the primary taxonomy Dentist (code 122300000X), licensed in NY under license number 053295.

Where does Long Island Dentist, PC practice?

The practice location is 15 Old Ridgefield RD, Wilton, CT 06897-3013. The office can be reached at 203-762-9907 (phone) or 203-762-7002 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538521703 directly on the NPPES registry website.

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