Individual
JONATHAN C SUSAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
416 NEW LONDON TPKE, GLASTONBURY, CT 06033-2237
(860) 633-3671
(860) 633-9128
Mailing address
416 NEW LONDON TPKE, GLASTONBURY, CT 06033-2237
(860) 633-3671
(860) 633-9128
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5815
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020005815CT01
ANTHEM BCBS
CT
05
—
2058154
—
CT
Enumeration date
03/08/2007
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us