Jack Alkon, D.M.D.
Individual provider Active NPI General Practice Dentistry · Southington, CT
NPI 1104820505 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1104820505
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4577 (CT)
- Practice address
- 51 N Main St
Southington, CT 06489-2537 - Phone
- (860) 621-6321
- NPI assigned
- Jun 13, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4577 | CT | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4577 | CT | Yes |
Addresses
Primary practice location
51 N Main St
Southington, CT 06489-2537
Mailing address
51 N Main St
Southington, CT 06489-2537
Other providers in Southington, CT
- Aguilar Salerno & Associates
- Nora Ainsworth
- Rachel N Albert
- Alexandra L Albino
- Setareh Alipourfetrati
- Ahmad M. Almai
- Dina Debarros Almeida-McGlotten
- Antonia Grace Alquist
- Sarah Alston
- Dionna Altayr
All providers in Southington, CT · General Practice Dentistry in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.