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JETAS DENTAL
NPI 1396209219
Dentist in Southbury, CT

Active since January 24, 2019
1449 OLD WATERBURY RD, UNIT 202, ONE RESERVOIR PARK, SOUTHBURY, CT 06488(203) 262-8051(203) 262-8956 Get Directions Write a Review

NPPES record last updated: January 24, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jetas Dental NPPES

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

JETAS DENTAL (NPI 1396209219) is a healthcare organization registered as a dentist in Southbury, Connecticut and active in the NPI registry since January 2019. The organization lists Jeta Zedek, Dentis, as its authorized official.

NPPES Registry Identity

NPI1396209219
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameJETAS DENTAL
Location Address1449 OLD WATERBURY RD, UNIT 202, ONE RESERVOIR PARKSouthbury, CT 06488-3926
Mailing Address1449 Old Waterbury Rd, Unit 202, One Reservoir ParkSouthbury, CT 06488-3926 · (203) 262-8051 · Fax (203) 262-8956
Phone(203) 262-8051
Fax(203) 262-8956
Organization SubpartNo
Authorized OfficialJeta ZedekDentis · (203) 262-8051
Enumeration DateJanuary 24, 2019
✔ NPI 1396209219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1449 OLD WATERBURY RD, Southbury, CT 06488
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

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

SERAPHINA INTEGRATIVE WELLNESS, LLC
Psychologist (Clinical)
1449 OLD WATERBURY RD, SUITE 307 A
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (203) 709-0325
SHERRI RAININGBIRD LLC
Marriage & Family Therapist
1449 OLD WATERBURY RD, ONE RESERVOIR OFFICE PARK 306B
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (203) 206-0544
DR. WILLIAM E KIMBALL OD
Optometrist
1449 OLD WATERBURY RD, SUITE 304
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (203) 267-2020
DR. LIANN H KIMBALL OD
Optometrist
1449 OLD WATERBURY RD, SUITE 304
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (203) 267-2020
PROGRESSIVE EYE CARE INC
Optometrist
1449 OLD WATERBURY RD, SUITE 304
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (203) 267-2020
ERICA LYONS MS, RN, APRN
Nurse Practitioner (Family)
1449 OLD WATERBURY RD, SUITE 205, OFFICE B
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (215) 585-2144
AMANDA SARRA MS,OTR/L
Occupational Therapist (Pediatrics)
1449 OLD WATERBURY RD, SUITE 104
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (203) 262-9909
VILLACIS EYECARE III, LLC
Optometrist
1449 OLD WATERBURY RD, UNIT 304
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (203) 267-2020

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 Jetas Dental's NPI number?

The NPI number for Jetas Dental is 1396209219. It was assigned to this organization in the NPPES registry on January 24, 2019.

Where is Jetas Dental located?

Jetas Dental is located at 1449 Old Waterbury Rd Unit 202, One Reservoir Park, Southbury, CT 06488. The listed phone number is (203) 262-8051.

What is Jetas Dental's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jetas Dental was last updated on January 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.