Organization Active NPI

Jet Dental of Connecticut, LLC

  • General Practice Dentistry
  • Fairfield, CT
National Provider Identifier
1063386969
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JET DENTAL OF CONNECTICUT, LLC
Practice address
1700 Post Rd Ste A1
Fairfield, CT 06824-5726
Phone
(801) 430-9262
NPI assigned
Oct 2, 2025
Organization subpart
Yes
Parent organization
JET MANAGEMENT SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephanie StoddartNPI 1700223237
Title
Owner
Phone
(801) 430-9262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1700 Post Rd Ste A1
Fairfield, CT 06824-5726

Mailing address

1700 Post Rd Ste A1
Fairfield, CT 06824-5726
Phone (801) 430-9262

National Provider Directory

National Provider Directory

Locations

1700 Post Rd
Ste A1
Fairfield, CT 06824

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1063386969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 POST RD STE A1",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245726",
            "telephone_number": "801-430-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 POST RD STE A1",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245726",
            "telephone_number": "801-430-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JET DENTAL OF CONNECTICUT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JET MANAGEMENT SERVICES, LLC",
        "enumeration_date": "2025-10-02",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "STODDART",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-430-9262"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.