Dr Jerrold Robert Ambrose, DMD is a
Dentist based in Haddam, Connecticut. Dr Jerrold Robert Ambrose is licensed to practice in Connecticut (license number 4522) and his current practice location is
1584 Saybrook Rd, Haddam, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(860) 345-2404.
NPI number for Dr Jerrold Robert Ambrose is 1447366307 and his current mailing address is 1584 Saybrook Road, Haddam, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447366307.
Healthcare Provider's Profile
Full Name | Dr Jerrold Robert Ambrose |
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Gender | Male |
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Speciality | Dentist |
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Location | 1584 Saybrook Rd, Haddam, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1447366307
- Provider Enumeration Date: 08/22/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Jerrold Robert Ambrose such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447366307 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 4522 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jerrold Robert Ambrose is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jerrold Robert Ambrose, DMD 1584 Saybrook Road, Haddam, CT 06438 Ph: (860) 345-2404 | Dr Jerrold Robert Ambrose, DMD 1584 Saybrook Rd, Haddam, CT 06438 Ph: (860) 345-2404 |
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