Individual provider · Type 1 NPI

Jagdeep Sibia Trivedi, DMD

Student in an Organized Health Care Education/Training Program · Hartford, CT

NPI number 1205190170 Active

Practice location

1000 Asylum Ave, 3200
Hartford, CT 06105-1770

Fax (860) 714-8003

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Dentist 122300000X12001 (NC)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205190170

Jagdeep Sibia Trivedi, DMD's National Provider Identifier is 1205190170, issued on Jun 26, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hartford, CT. The record was last updated on Feb 10, 2021.