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JONATHAN C SUSAT DDS
NPI 1073644159
Dentist - General Practice in Glastonbury, CT

Active since March 08, 2007
416 NEW LONDON TPKE, GLASTONBURY, CT 06033(860) 633-3671(860) 633-9128 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jonathan C Susat Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN C SUSAT DDS (NPI 1073644159) is an individual general practice provider in Glastonbury, Connecticut, licensed in Connecticut (5815) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1073644159
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJONATHAN C SUSATCredential: DDS
Location Address416 NEW LONDON TPKEGlastonbury, CT 06033-2237
Mailing Address416 New London TpkeGlastonbury, CT 06033-2237 · (860) 633-3671 · Fax (860) 633-9128
Phone(860) 633-3671
Fax(860) 633-9128
Sole ProprietorNo
Enumeration DateMarch 8, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1073644159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CT · 5815
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.
416 NEW LONDON TPKE, Glastonbury, CT 06033
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Other Identifiers 2

Other020005815CT01CT · Anthem Bcbs
Medicaid2058154CT

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JULIA KARPMAN DMD
Dentist
416 NEW LONDON TPKE
GLASTONBURY, CT 06033
Capitol Planning Region (860) 633-3671
GLASTONBURY DENTAL ASSOCIATES LLP
Dentist (General Practice)
416 NEW LONDON TPKE
GLASTONBURY, CT 06033
Capitol Planning Region (860) 633-3671
MATTHEW P SCOLES DMD
Dentist (General Practice)
416 NEW LONDON TPKE
GLASTONBURY, CT 06033
Capitol Planning Region (860) 633-3671
MARC H SCOLES DMD
Dentist (General Practice)
416 NEW LONDON TPKE
GLASTONBURY, CT 06033
Capitol Planning Region (860) 633-3671

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Susat's NPI number?

The NPI number for Jonathan Susat is 1073644159. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Jonathan Susat located?

Jonathan Susat practices at 416 New London Tpke, Glastonbury, CT 06033. The listed phone number is (860) 633-3671.

What is Jonathan Susat's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jonathan Susat was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.