Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073644159 Individual Practitioner Male Practitioner

Dr. Jonathan C Susat , DDS

Dentist - General Practice • Glastonbury, CT

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Susat, DDS is a registered healthcare professional specializing in Dentist - General Practice in Glastonbury, CT. Practice services are available at 416 NEW LONDON TPKE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

416 New London Tpke

Glastonbury, CT 060332237

Telephone 8606333671
Fax 8606339128
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Glastonbury, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.3 Yrs
Regional Practice Density
29 Specialists

Practicing in Glastonbury, CT (1821 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CT 5815

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2058154 (CT)
Commercial Insurance / Payer ID Anthem Bcbs
020005815CT01 (CT)

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1033613476

Doctor of Dental Medicine

Dr. Matthew Scoles , DMD

Dentist - General Practice

NPI 1891826988

Doctor of Dental Medicine

Dr. Marc Scoles , DMD

Dentist - General Practice

NPI 1962533125

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 416 NEW LONDON TPKE, GLASTONBURY, CT 060332237 (Tel: 8606333671)

📍
Updated Business Mailing Address July 08, 2007

Registered at 416 NEW LONDON TPKE, GLASTONBURY, CT 060332237 (Tel: 8606333671)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JONATHAN SUSAT, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #5815 in CT)

🟢
Initial NPI Registration & Enumeration March 08, 2007

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: 1073644159
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

416 New London Tpke

Glastonbury, CT 060332237

Phone: 8606333671

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.