Jeremiah Ricketson
Dentist, Oral and Maxillofacial Surgery in West Hartford, Connecticut
1659933620- Practice location
- 928 Farmington Ave, West Hartford, CT 06107-2227
- Phone
- 860-232-4606
- Fax
- —
- Last updated
- June 26, 2025
Jeremiah Ricketson is a Dentist, Oral and Maxillofacial Surgery based in West Hartford, CT. Jeremiah Ricketson practices in West Hartford, CT. The NPI Number for Jeremiah Ricketson is 1659933620 and holds a License No. 2.013969 (CT). The current practice location address for Jeremiah Ricketson is 928 Farmington Ave, West Hartford, CT 06107-2227 and can be reached out via phone at 860-232-4606.
Provider Profile Details
- NPI Number
- 1659933620
- Provider Name
- Jeremiah Ricketson
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 928 Farmington Ave, West Hartford, CT 06107-2227
- Phone Number
- 860-232-4606
- Primary Taxonomy
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 1, 2019
- Last Update Date
- June 26, 2025
- Certification Date
- June 26, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 928 Farmington Ave
West Hartford, CT 06107-2227 - City
- West Hartford
- State
- Connecticut
- Zip
- 06107-2227
- Phone Number
- 860-232-4606
Provider Business Mailing Address Details
- Address
- 1011 N University Ave
Ann Arbor, MI 48109-1078 - City
- Ann Arbor
- State
- MI
- Zip
- 48109-1078
- Phone Number
- 734-764-1568
- Fax Number
- 734-615-1415
License Information
- License Number
- 2.013969
- License State
- CT
- Taxonomy
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Oral and Maxillofacial Surgery providers near West Hartford, CT
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- Ms. Yolanda P Frontera, DDS, MDSDentist, Oral and Maxillofacial Surgery · NPI 1861552317
- Visha Patel, DMDDentist, Oral and Maxillofacial Surgery · NPI 1578205597
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Frequently Asked Questions
What is the NPI number of Jeremiah Ricketson?
The NPI number of Jeremiah Ricketson is 1659933620. It was assigned on July 1, 2019 and is currently active in the NPPES registry.
What is the specialty of Jeremiah Ricketson?
Jeremiah Ricketson is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in CT under license number 2.013969.
Where does Jeremiah Ricketson practice?
The practice location is 928 Farmington Ave, West Hartford, CT 06107-2227. The office can be reached at 860-232-4606 (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 1659933620 directly on the NPPES registry website.