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Jake Parker Wallach

Dentist β€’ Cheshire, CT

Active NPI 1730982869 Individual Practitioner Male Practitioner
Practice location in NPPES

435 Highland Ave Ste 210
Cheshire, CT 064102583

Call 4753720134 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

435 Highland Ave Ste 210

Cheshire, CT 064102583

Telephone 4753720134

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Cheshire and Connecticut

7 active clinicians are listed under Dentist with a practice address in Cheshire, CT (864 in Connecticut).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-23
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Connecticut Department of Public Health Verification.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1144870072

Doctor of Dental Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location June 23, 2026

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

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

Dentist (license number reported to NPPES: CT 14707)

βœ…
NPI Profile Active April 08, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 08, 2025

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

πŸ“
Business Mailing Address (Initial Record) April 08, 2025

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

πŸ‘€
Provider Name / Credentials (Initial Record) April 08, 2025

Recorded as JAKE WALLACH

πŸŽ“
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.

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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

Other Dentists in Cheshire

Healthcare providers in Cheshire

Mailing Address

68 Pepperidge Dr

Southington, CT 064894416

Phone: 8609194994

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.