Provider Demographics
NPI:1487791356
Name:VILLEGAS, JESUS ABEL (DDS)
Entity type:Individual
Prefix:DR
First Name:JESUS
Middle Name:ABEL
Last Name:VILLEGAS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 BOSTON POST RD
Mailing Address - Street 2:201
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-3161
Mailing Address - Country:US
Mailing Address - Phone:203-783-9994
Mailing Address - Fax:
Practice Address - Street 1:209 BOSTON POST RD
Practice Address - Street 2:201
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-3161
Practice Address - Country:US
Practice Address - Phone:203-783-9994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0086681223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry