Jlg Dental LLC
NPI #1588040687 in Danbury, Connecticut
Provider Information
- NPI Number
- 1588040687
- Entity Type
- Organization
- Organization Name
- Jlg Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 31, 2015
- Last Updated
- Aug 31, 2020
Practice Location
- Address
- 85 NORTH ST
- City
- Danbury
- State
- Connecticut
- ZIP Code
- 06810-5635
- Phone
- (203) 743-4770
Authorized Official
- Name
- MIKE J COLE
- Title
- VP INSURANCE PLAN MANAGEMENT
- Phone
- (727) 424-2990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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