Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JETAS DENTAL
Active OrganizationJETAS DENTAL is a Dentist organization located in SOUTHBURY, Connecticut. NPI 1396209219 is currently active in the NPPES registry. Verify at CMS.
Dentist · SOUTHBURY, CT
Registration Details
- NPI Number
- 1396209219
- Provider Type
- Organization
- NPI Issued
- Jan 24, 2019 (7.5774364425733 yrs)
- Last Updated
- Jan 24, 2019
Practice Information
- Address
-
1449 OLD WATERBURY RDUNIT 202, ONE RESERVOIR PARKSOUTHBURY, CT, 064883926Browse CT providers · Browse ZIP 06488
- Phone
- 2032628051
- Fax
- 2032628956
- Primary Specialty
-
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.