SearchConnecticut1223X0400X

Jonathan Fisk, DMD

NPI 1811337975 · on the registry since 2013 · sole proprietor

Practice

Address
881 Whalley Ave
New Haven, CT 06515
Phone
(203) 374-1911
Organisation at this address
Ct Braces, Llc
Princeps Healthcare
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1223X0400X
1223X0400X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-07-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut