Healthcare Provider Details

I. General information

NPI: 1356788871
Provider Name (Legal Business Name): AHMAD ALI ALABBADI DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2013
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 BROAD ST
WINDSOR CT
06095-2925
US

IV. Provider business mailing address

230 BROAD ST
WINDSOR CT
06095-2925
US

V. Phone/Fax

Practice location:
  • Phone: 860-688-4634
  • Fax:
Mailing address:
  • Phone: 860-688-4634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number04178
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number13013
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: