Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jake Parker Wallach

Individual provider Dentist · NPI 1730982869

Jake Parker Wallach is a Dentist in Cheshire, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2025

Practice location Address checks out

435 Highland Ave Ste 210
Cheshire, CT 06410-2583
Phone: (475) 372-0134
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 14707 (CT)

Record details

NPI number1730982869
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 1, 2025
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026
Mailing address68 Pepperidge Dr, Southington, CT 06489-4416

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