Individual
MR. JAN CASEY TE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
179 DEMING ST, #A, MANCHESTER, CT 06042
(860) 644-6500
Mailing address
179 DEMING ST, #A, MANCHESTER, CT 06042
(212) 998-9800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14546
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/20/2023
Last updated
09/18/2025
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