Provider Demographics
NPI:1851829881
Name:HUGHES-BURNETT, JESSICA SHERLETTE (DDS)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:SHERLETTE
Last Name:HUGHES-BURNETT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:SHERLETTE
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:245 HAGAN PL
Mailing Address - Street 2:
Mailing Address - City:SECAUCUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07094-3703
Mailing Address - Country:US
Mailing Address - Phone:412-953-3381
Mailing Address - Fax:
Practice Address - Street 1:599 MAIN ST STE 3
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-5156
Practice Address - Country:US
Practice Address - Phone:860-646-1535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-04
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT129681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice