DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JEREMY SHANE LANSFORD, D.M.D.

Active

DR. JEREMY SHANE LANSFORD, D.M.D. is a Dentist healthcare provider located in SUFFIELD, Connecticut. NPI 1174577811 is currently active in the NPPES registry. Verify at CMS.

Dentist · SUFFIELD, CT

Registration Details

NPI Number
1174577811
Provider Type
Individual
Gender
Male
NPI Issued
May 19, 2006 (20.095495015701 yrs)
Last Updated
Mar 31, 2009
Licenses
009319 (CT)
8803 (TN)
0401412410 (VA)

Practice Information

Address
180 MARBERN DR
SUFFIELD, CT, 060781535
Browse CT providers · Browse ZIP 06078
Phone
2104555571
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist
Additional Specialty
Dentist

Other Dentist Providers in SUFFIELD, CT

Name Credential NPI
DR. REBECCA LEE COCHRANE DMD 1558437491
DR. STACEY NATH-VINICK D.M.D. 1275675787
DR. ALAN NATH D.D.S. 1962545400
BRENNA FRECHETTE DMD 1720728462
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.