IndividualActive
Jiean Joseph Heifetz-Li, DMD, MPH
NPI 1053841197 · Oral and Maxillofacial Surgery (Dentist) · Guilford, CT
Provider details
- NPI number
- 1053841197
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DMD, MPH
- Sex
- Male
- Sole proprietor
- No
- License
- 13319 (CT)
Specialties & taxonomies
Dental Providers
Practice location
246 Goose Ln Ste 204
Guilford, CT 06437-2186
Phone: (203) 453-4381
Approximate (ZIP-level) locationGet directions
Mailing address
246 Goose Ln Ste 204
Guilford, CT 06437-2186
Registry dates
- Enumerated
- 2017-06-12
- Last updated
- 2022-06-23
- Certified
- 2022-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.