Jerrold Robert Ambrose, DMD

Dentist · Haddam, CT

Individual Active NPI

NPI number 1447366307

Practice location

1584 Saybrook Rd
Haddam, CT 06438
Phone
(860) 345-2404

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NPI record

NPI
1447366307
Entity type
Individual (Type 1)
Enumeration date
August 22, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 4522 CT

Mailing address

1584 Saybrook Road
Haddam, CT 06438
Phone
(860) 345-2404

About Dr. Ambrose

Jerrold Robert Ambrose, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1584 Saybrook Rd, Haddam, CT 06438. The NPI number 1447366307 was assigned on August 22, 2006 and the record was last updated on July 8, 2007.

Dr. Ambrose lists a license in the registry: #4522 (CT) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerrold Robert Ambrose, DMD?

The NPI number is 1447366307.

What is the phone number of Dr. Ambrose?

The phone number listed for the practice location is (860) 345-2404.

Where is Dr. Ambrose located?

1584 Saybrook Rd, Haddam, CT 06438.

What is the taxonomy code for Dr. Ambrose?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.