Jeffrey J Bisson, DMD
Individual provider Active NPI General Practice Dentistry · Cheshire, CT
NPI 1508902305 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508902305
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 7774 (CT)
- Practice address
- 482 S Main St
Cheshire, CT 06410-3117 - Phone
- (203) 272-2729
- Fax
- (203) 272-9886
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 7774 | CT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cheshire Dental Associates, PC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7774 | CT | Yes |
Addresses
Primary practice location
482 S Main St
Cheshire, CT 06410-3117
Mailing address
482 S Main St
Cheshire, CT 06410-3117
Phone (203) 272-2729
Other providers in Cheshire, CT
- Olivia Biehl
- Rachel Bieu
- Cara Cathleen Billman
- Birchwood Optical
- Paula Bishop
- Michael Kaj Bloom
- Michelle Bobulinski
- Tracy Kody Bogdanski
- Christine Boiano
- Debra Carlson Bond
All providers in Cheshire, 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 8, 2007. 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.