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: July 19, 2026.

  • Organization
  • Dentist

About JETAS DENTAL

This page provides the complete NPI Profile along with additional information for Jetas Dental, a provider established in Southbury, Connecticut operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1396209219 assigned on January 2019. The practitioner's primary taxonomy code is 122300000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Jetas Dental operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jeta Zedek Dds (Dentis)

NPI
1396209219 Verify this NPI
Provider Name
JETAS DENTAL
Entity Type
Organization
Location Address
1449 OLD WATERBURY RD UNIT 202, ONE RESERVOIR PARK SOUTHBURY, CT 06488
Location Phone
(203) 262-8051
Location Fax
(203) 262-8956
Mailing Address
1449 OLD WATERBURY RD UNIT 202, ONE RESERVOIR PARK SOUTHBURY, CT 06488
Mailing Phone
(203) 262-8051
Mailing Fax
(203) 262-8956
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-24-2019
Last Update Date
01-24-2019
Code Navigator

A dentist like Jetas Dental is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JETA ZEDEK DDS

Authorized Official Title
DENTIS
Authorized Official Phone
(203) 262-8051

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Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Optometrist
1449 OLD WATERBURY RD, SUITE 304
SOUTHBURY, CT 06488
Optometrist
1449 OLD WATERBURY RD, SUITE 304
SOUTHBURY, CT 06488
Optometrist
1449 OLD WATERBURY RD, SUITE 304
SOUTHBURY, CT 06488
Marriage & Family Therapist
1449 OLD WATERBURY RD, ONE RESERVOIR OFFICE PARK 306B
SOUTHBURY, CT 06488
Physical Therapist (Pediatrics)
1449 OLD WATERBURY RD, SUITE 104
SOUTHBURY, CT 06488
Occupational Therapist (Pediatrics)
1449 OLD WATERBURY RD, SUITE 104
SOUTHBURY, CT 06488
Speech-Language Pathologist
1449 OLD WATERBURY RD, 1 RESERVOIR OFFICE PARK, SUITE 104
SOUTHBURY, CT 06488
Hearing Instrument Specialist
1449 OLD WATERBURY RD
SOUTHBURY, CT 06488
Psychologist (Clinical)
1449 OLD WATERBURY RD, SUITE 307 A
SOUTHBURY, CT 06488
Optometrist
1449 OLD WATERBURY RD, SUITE 304
SOUTHBURY, CT 06488
Occupational Therapist (Pediatrics)
1449 OLD WATERBURY RD, ONE RESERVOIR OFFICE PARK, STE 104
SOUTHBURY, CT 06488
Social Worker (Clinical)
1449 OLD WATERBURY RD
SOUTHBURY, CT 06488
Optometrist
1449 OLD WATERBURY RD, SUITE 304
SOUTHBURY, CT 06488
Counselor (Professional)
1449 OLD WATERBURY RD
SOUTHBURY, CT 06488
Optometrist
1449 OLD WATERBURY RD, UNIT 304
SOUTHBURY, CT 06488
Surgery (Vascular Surgery)
1449 OLD WATERBURY RD, UNIT 101
SOUTHBURY, CT 06488
Nurse Practitioner (Family)
1449 OLD WATERBURY RD, SUITE 205, OFFICE B
SOUTHBURY, CT 06488
Speech-Language Pathologist
1449 OLD WATERBURY RD
SOUTHBURY, CT 06488

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396209219, enumerated as an "organization" on January 24, 2019.

The provider is located at 1449 OLD WATERBURY RD UNIT 202, ONE RESERVOIR PARK SOUTHBURY, CT 06488 and the phone number is (203) 262-8051.

Dentist with taxonomy code 122300000X.