Dr. Jerrold R Ambrose, DMD
Dentist in Haddam, Connecticut
1447366307- Practice location
- 1584 Saybrook RD, Haddam, CT 06438
- Phone
- 860-345-2404
- Fax
- —
- Last updated
- July 8, 2007
Jerrold Robert Ambrose is a Dentist based in Haddam, CT. Jerrold Robert Ambrose practices in Haddam, CT and has the professional credentials of DMD. The NPI Number for Jerrold Robert Ambrose is 1447366307 and holds a License No. 4522 (CT). The current practice location address for Jerrold Robert Ambrose is 1584 Saybrook RD, Haddam, CT 06438 and can be reached out via phone at 860-345-2404.
Provider Profile Details
- NPI Number
- 1447366307
- Provider Name
- Jerrold Robert Ambrose
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1584 Saybrook RD, Haddam, CT 06438
- Phone Number
- 860-345-2404
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 22, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1584 Saybrook RD
Haddam, CT 06438 - City
- Haddam
- State
- Connecticut
- Zip
- 06438
- Phone Number
- 860-345-2404
Provider Business Mailing Address Details
- Address
- 1584 Saybrook Road
Haddam, CT 06438 - City
- Haddam
- State
- CT
- Zip
- 06438
- Phone Number
- 860-345-2404
License Information
- License Number
- 4522
- License State
- CT
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Haddam, CT
View all Dentists in Haddam →Frequently Asked Questions
What is the NPI number of Dr. Jerrold R Ambrose, DMD?
The NPI number of Dr. Jerrold R Ambrose, DMD is 1447366307. It was assigned on August 22, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Jerrold R Ambrose, DMD?
Dr. Jerrold R Ambrose, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 4522.
Where does Dr. Jerrold R Ambrose, DMD practice?
The practice location is 1584 Saybrook RD, Haddam, CT 06438. The office can be reached at 860-345-2404 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447366307 directly on the NPPES registry website.