NPI 1023245842

Jacob Marshall Gady, DMDMD

Practitioner Dentist West Hartford, CT

Practice location

Address: 80 S Main St, West Hartford, CT 06107-2408
Phone: (860) 231-1030
Fax: (860) 231-1032

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 011331 (CT)

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Registry record

NPI: 1023245842
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jun 2009
Record last updated: 17 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.