Individual provider · Type 1 NPI

Jeremiah Ricketson

Oral and Maxillofacial Surgery (Dentist) · West Hartford, CT

NPI number 1659933620 Active

Practice location

928 Farmington Ave
West Hartford, CT 06107-2227

Call (860) 232-4606 Map

Mailing address

1011 N University Ave
Ann Arbor, MI 48109-1078

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X2.013969 (CT)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

20 other providers at this address

Other oral and maxillofacial surgery (dentist) providers in West Hartford

See all in West Hartford →

About NPI 1659933620

Jeremiah Ricketson's National Provider Identifier is 1659933620, issued on Jul 1, 2019. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in West Hartford, CT. The record was last updated on Jun 26, 2025.