Whalio Doctors

NPI 1023321106

Payal Jain, DDS

Practitioner General Practice Dentistry Bridgeport, CT

Practice location

Address
2660 Main St # 217, Bridgeport, CT 06606-5362
Phone
(203) 219-0285
Mailing address
1517 Hudson Park, Edgewater, NJ 07020-1572

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 010290 (CT)

Registry record

NPI
1023321106
Entity type
Individual
Sex (as registered)
Female
NPI issued
19 Jul 2010
Record last updated
19 Jul 2010

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.