Jacob Randall Labauve, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

14192 Issued in CT

Practice address

42 Cherry St # 1
Milford, CT 06460-3413

Phone

(203) 878-4757

NPI assigned

Mar 4, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1568703304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 TIMBERWOOD CIR",
            "city": "NORTH BRANFORD",
            "state": "CT",
            "postal_code": "064711133",
            "telephone_number": "561-307-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 CHERRY ST # 1",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603413",
            "telephone_number": "203-878-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABAUVE",
        "first_name": "JACOB",
        "middle_name": "RANDALL",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-04",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "14192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward J Kudej, D.C.
• Yvonne Shaffer Kull, APRN
• Anupama Kurra, M.D.
• Pamela Laurie Kwittken, MD
• Robert Karl Kwochka, DMD
• Arlene N Lacerenza, LMFT
• Kaitlyn Lafferty, M.S.,CCC-SLP
• Amit Lahav, MD
• Victoria Rose Lakic, MSOT, OTR/L
• Elizabeth Laliberte, LCSW

• Dentist in Milford, CT
• Providers in Milford, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.