Healthcare Provider Details

I. General information

NPI: 1083530604
Provider Name (Legal Business Name): VISTA DENTAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 STRAITS TPKE STE 210
MIDDLEBURY CT
06762-1836
US

IV. Provider business mailing address

1625 STRAITS TPKE STE 210
MIDDLEBURY CT
06762-1836
US

V. Phone/Fax

Practice location:
  • Phone: 203-598-3889
  • Fax: 203-598-0108
Mailing address:
  • Phone: 203-598-3889
  • Fax: 203-598-0108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. ARSALAN ELAHI
Title or Position: OWNER
Credential: DMD
Phone: 203-982-8751