Individual provider Active NPI

Gail Elizabeth Selmon, RDH

  • Dental Hygienist
  • Shelton, CT
National Provider Identifier
1619932829
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
004585 Issued in CT
Practice address
190 Coram Ave
Shelton, CT 06484-3347
Phone
(203) 924-4115
Fax
(203) 924-1301
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 004585 CT Primary

Addresses

Primary practice location

190 Coram Ave
Shelton, CT 06484-3347

Mailing address

15 Heather RDG
Shelton, CT 06484-4682
Phone (203) 929-8696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
004585CTMDDental Hygienist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619932829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HEATHER RDG",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844682",
            "telephone_number": "203-929-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CORAM AVE",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064843347",
            "telephone_number": "203-924-4115",
            "fax_number": "203-924-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELMON",
        "first_name": "GAIL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CT",
            "license": "004585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.