Ayesha Ejaz, DMD
Individual provider Active NPI General Practice Dentistry · Windsor Locks, CT
NPI 1972187656 · NPPES record last updated Mar 10, 2026
Key facts
- NPI
- 1972187656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 22DI03131000 (NJ)
- Practice address
- 2 Concorde Way BLDG 1
Windsor Locks, CT 06096-1577 - Phone
- (860) 623-3244
- NPI assigned
- May 10, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 22DI03131000 | NJ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Smiles of Connecticut PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI03131000 | NJ | Yes |
Addresses
Primary practice location
2 Concorde Way BLDG 1
Windsor Locks, CT 06096-1577
Mailing address
2 Concorde Way
Windsor Locks, CT 06096-1576
Other providers in Windsor Locks, CT
- Mona Copeland
- Heather Costello
- Amber Curran
- Marc Samuel Cutler
- Eastern Services & Camp Simon LLC
- Elegant, LLC.
- Eric Tharaldson Physical Therapy LLC
- Essential Services, LLC
- Ezee Transort LLC
- Lorri F Fitzsimmons
All providers in Windsor Locks, 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 Mar 10, 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.