Khaled Altarras, DMD
Individual provider Active NPI General Practice Dentistry · East Haven, CT
NPI 1457277477 · NPPES record last updated Jun 24, 2026
Key facts
- NPI
- 1457277477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 14787 (CT)
- Practice address
- 35 High St
East Haven, CT 06512-2315 - Phone
- (203) 800-9909
- NPI assigned
- Jun 24, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14787 | CT | Yes |
Addresses
Primary practice location
35 High St
East Haven, CT 06512-2315
Mailing address
35 High St
East Haven, CT 06512-2315
Phone (203) 800-9909
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All providers in East Haven, CT · General Practice Dentistry in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.