Provider Demographics
NPI:1326260332
Name:EPSTEIN, JENNIFER DANIELLE (DMD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:DANIELLE
Last Name:EPSTEIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5103 AVALON DR E
Mailing Address - Street 2:
Mailing Address - City:NEW CANAAN
Mailing Address - State:CT
Mailing Address - Zip Code:06840-5955
Mailing Address - Country:US
Mailing Address - Phone:203-966-1949
Mailing Address - Fax:
Practice Address - Street 1:1478 POST RD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-5938
Practice Address - Country:US
Practice Address - Phone:203-255-6851
Practice Address - Fax:203-255-7782
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0094141223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry