Individual provider · Type 1 NPI

Jake Parker Wallach

Dentist · Cheshire, CT

NPI number 1730982869 Active

Practice location

435 Highland Ave Ste 210
Cheshire, CT 06410-2583

Mailing address

68 Pepperidge Dr
Southington, CT 06489-4416

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X14707 (CT)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1730982869

Jake Parker Wallach's National Provider Identifier is 1730982869, issued on Apr 1, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Cheshire, CT. The record was last updated on Jun 23, 2026.