Jonathan C Susat is a Glastonbury, Connecticut based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Jonathan C Susat is 5815 for General Practice Dentistry in Connecticut. His current practice location is 416 New London Tpke, Glastonbury. Patients can reach him at 860-633-3671.
Jonathan C Susat is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Jonathan C Susat speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Jonathan C Susat
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
416 New London Tpke, Glastonbury, Connecticut, 06033-2237
Phone:
860-633-3671
Fax:
860-633-9128
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1073644159
NPI Enumeration Date:
08 Mar, 2007
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jonathan C Susat are as mentioned below.
License Number
Specialization
State
Status
5815
General Practice Dentistry
Connecticut
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jonathan C Susat such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
020005815CT01
Other
Connecticut
ANTHEM BCBS
2058154
Medicaid
Connecticut
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
416 New London Tpke, Glastonbury, Connecticut
Zip:
06033-2237
Phone Number:
860-633-3671
Fax Number:
860-633-9128
Patients can reach Jonathan C Susat at 416 New London Tpke, Glastonbury, Connecticut or can call to book an appointment on 860-633-3671. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.