Healthcare Provider Details

I. General information

NPI: 1457848665
Provider Name (Legal Business Name): JOHN FREDERICK DANKERT MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2018
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 WHITE PLAINS RD STE 105
TRUMBULL CT
06611-4552
US

IV. Provider business mailing address

2408 WHITNEY AVE
HAMDEN CT
06518-3209
US

V. Phone/Fax

Practice location:
  • Phone: 203-268-2882
  • Fax: 203-672-0840
Mailing address:
  • Phone: 203-626-0160
  • Fax: 203-294-6734

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number79852
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code207XX0004X
TaxonomyOrthopaedic Foot and Ankle Surgery Physician
License Number79852
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: