# JLG DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dental Care Alliance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588040687
- **Authorized official:** VICTORIA J JOHNSON (CRO)
- **Authorized official phone:** (941) 444-0558

## Contact information

- **Practice address:** 85 NORTH ST, DANBURY, CT 06810-5635
- **Practice address phone:** (203) 743-4770
- **Mailing address:** 2 STONY HILL RD STE 101, BETHEL, CT 06801-1045
- **Mailing address phone:** (203) 743-4770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5239 | CT | Yes |

## Other

- **Enumeration date:** 07/31/2015
- **Last updated:** 07/21/2026