Madisen Brooke Newman, DDS
Individual provider Active NPI General Practice Dentistry · Gales Ferry, CT
NPI 1871489534 · NPPES record last updated Jun 17, 2025
Key facts
- NPI
- 1871489534
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 14415 (CT)
- Practice address
- 1527 Route 12
Gales Ferry, CT 06335-1800 - Phone
- (860) 464-7204
- NPI assigned
- Jun 17, 2025
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14415 | CT | MD | Physical Medicine & Rehabilitation Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14415 | CT | Yes |
Addresses
Primary practice location
1527 Route 12
Gales Ferry, CT 06335-1800
Mailing address
32 Maplewood St
Old Saybrook, CT 06475-2113
Phone (318) 464-4780
Other providers in Gales Ferry, CT
- Michelle a. Tucker, LLC
- Marion Krista Mikkelson
- Amy T Mooradian
- Patricia Ward Murdoch
- New Moon Therapy LLC
- Robyn Marie Nicholas
- Kathleen Mary Oconnor
- One Womens Health
- Ankita Patel
- Path 2 Self Performance Physical Therapy LLC
All providers in Gales Ferry, 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 17, 2025. 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.