Individual
DR. JAGDEEP SIBIA TRIVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1000 ASYLUM AVE, 3200, HARTFORD, CT 06105-1770
(860) 714-4529
(860) 714-8003
Mailing address
1000 ASYLUM AVE, 3200, HARTFORD, CT 06105-1770
(860) 714-4529
(860) 714-8003
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12001
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00401136
—
CT
Enumeration date
06/26/2012
Last updated
02/10/2021
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