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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAKE PARKER WALLACH
NPI 1730982869
Dentist in Cheshire, CT

Active since April 01, 2025
435 HIGHLAND AVE STE 210, CHESHIRE, CT 06410(475) 372-0134 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2025, Apr 1, 2025 (2 updates tracked since 2025).

About Jake Parker Wallach NPPES

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

JAKE PARKER WALLACH (NPI 1730982869) is an individual dentist in Cheshire, Connecticut, licensed in Connecticut (14707) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1730982869
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJAKE PARKER WALLACH
Location Address435 HIGHLAND AVE STE 210Cheshire, CT 06410-2583
Mailing Address68 Pepperidge DrSouthington, CT 06489-4416 · (860) 919-4994
Phone(475) 372-0134
Sole ProprietorYes
Enumeration DateApril 1, 2025
Last NPPES UpdateJune 23, 20262 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
✔ NPI 1730982869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CT · 14707
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.
435 HIGHLAND AVE STE 210, Cheshire, CT 06410
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Other Providers at the Same Location NPPES 2

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

DR. REBECCA VEROSLOFF FANTOZZI DMD
Dentist
435 HIGHLAND AVE STE 210
CHESHIRE, CT 06410
Naugatuck Valley Planning Region (203) 272-7271
IRA BHATNAGAR
Dentist (General Practice)
435 HIGHLAND AVE STE 210
CHESHIRE, CT 06410
Naugatuck Valley Planning Region (203) 272-7271

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 Jake Wallach's NPI number?

The NPI number for Jake Wallach is 1730982869. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Where is Jake Wallach located?

Jake Wallach practices at 435 Highland Ave Ste 210, Cheshire, CT 06410. The listed phone number is (475) 372-0134.

What is Jake Wallach'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 Jake Wallach was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.