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.

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
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

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


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.