Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERROLD ROBERT AMBROSE, DMD
ActiveDR. JERROLD ROBERT AMBROSE, DMD is a Dentist healthcare provider located in HADDAM, Connecticut. NPI 1447366307 is currently active in the NPPES registry. Verify at CMS.
Dentist · HADDAM, CT
Registration Details
- NPI Number
- 1447366307
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2006 (19.803511670771 yrs)
- Last Updated
- Jul 8, 2007
- License
-
4522 (CT)
Practice Information
- Address
-
1584 SAYBROOK RDHADDAM, CT, 06438Browse CT providers · Browse ZIP 06438
- Phone
- 8603452404
- Primary Specialty
-
Dentist
122300000X
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.