Individual
DR. JEAN M LAFAYETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
ONE NORTHWESTERN DRIVE, SUITE #201, BLOOMFIELD, CT 06002
(860) 242-0700
(860) 243-5681
Mailing address
172 WATERVILLE ROAD, AVON, CT 06001
(860) 983-6725
(860) 243-5681
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7394
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020007394CT04
BCBS
CT
Enumeration date
04/03/2007
Last updated
07/08/2007
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