Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730982869 Individual Practitioner Male Practitioner

Jake Parker Wallach

Dentist • Cheshire, CT

Professional Overview & Biography Verified Profile Summary

Jake Wallach is a registered healthcare professional specializing in Dentist in Cheshire, CT. Practice services are available at 435 HIGHLAND AVE STE 210 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

435 Highland Ave Ste 210

Cheshire, CT 064102583

Telephone 4753720134

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Cheshire, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.8 Yrs
Regional Practice Density
7 Specialists

Practicing in Cheshire, CT (912 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-23
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CT 14707

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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1144870072

Doctor of Dental Medicine

Ira Bhatnagar

Dentist - General Practice

NPI 1326671736

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 23, 2026

Registered at 435 HIGHLAND AVE STE 210, CHESHIRE, CT 064102583 (Tel: 4753720134)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2026

Dentist (License #14707 in CT)

NPI Profile Active April 08, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2025

Registered at 70 MAIN ST, DANBURY, CT 068106099 (Tel: 2037398100)

📍
Updated Business Mailing Address April 08, 2025

Registered at 68 PEPPERIDGE DR, SOUTHINGTON, CT 064894416 (Tel: 8609194994)

👤
Provider Name / Credentials Updated April 08, 2025

Recorded as JAKE WALLACH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2025

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 01, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730982869
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2025
Last Update: June 23, 2026
Sole Proprietor: Yes

Mailing Address

68 Pepperidge Dr

Southington, CT 064894416

Phone: 8609194994

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.