IndividualActive
Jeremy Lansford, D.M.D.
NPI 1174577811 · Dentist · Suffield, CT
Provider details
- NPI number
- 1174577811
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 009319 (CT)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Practice location
180 Marbern Dr
Suffield, CT 06078-1535
Phone: (210) 455-5571
Approximate (ZIP-level) locationGet directions
Mailing address
180 Marbern Dr
Suffield, CT 06078-1535
Registry dates
- Enumerated
- 2006-05-19
- Last updated
- 2009-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.