person
Jonathan C Susat, DDS
General Practice Dentistry in Glastonbury, Connecticut
NPI 1073644159

Jonathan C Susat is a General Practice Dentistry based in Glastonbury, CT and is specialized in General Practice. Jonathan C Susat practices in Glastonbury, CT and has the professional credentials of DDS. The NPI Number for Jonathan C Susat is 1073644159 and holds a License No. 5815 (Connecticut).

The current practice location address for Jonathan C Susat is 416 New London Tpke, Glastonbury, CT and can be reached out via phone at 860-633-3671 and via fax at 860-633-9128.

Location: 416 New London Tpke, Glastonbury, CT, 06033-2237
person
Provider Profile Details
NPI Number
1073644159
Provider Name
Jonathan C Susat
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
416 New London Tpke, Glastonbury, CT, 06033-2237
Phone Number
860-633-3671
Fax Number
860-633-9128
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
020005815CT01 01 CT ANTHEM BCBS
2058154 05 CT
institution
Provider Business Practice Location Address Details
Address
416 New London Tpke
City
State
Zip
06033-2237
Phone Number
860-633-3671
Fax Number
860-633-9128
person
Provider Business Mailing Address Details
Address
416 New London Tpke
City
State
Zip
06033-2237
Phone Number
860-633-3671
Fax Number
860-633-9128
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
5815 (Connecticut)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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