Active NPIOrganization

Michael A Mandino Jr D.d.s Dr Louis A Juliano D.d.s. LLC

Dentist in Waterbury, Connecticut

NPI Number1356642540
Practice location
276 Highland Ave, Waterbury, CT 06708-3022
Fax
203-575-1286
Last updated
November 10, 2014

Michael A Mandino Jr D.d.s Dr Louis A Juliano D.d.s. LLC is a healthcare organization based in Waterbury, CT. Michael A Mandino Jr D.d.s Dr Louis A Juliano D.d.s. LLC practices in Waterbury, CT. The NPI Number for Michael A Mandino Jr D.d.s Dr Louis A Juliano D.d.s. LLC is 1356642540 and holds a License No. 4750 (CT). The current practice location address for Michael A Mandino Jr D.d.s Dr Louis A Juliano D.d.s. LLC is 276 Highland Ave, Waterbury, CT 06708-3022 and can be reached out via phone at 203-575-9798 and via fax at 203-575-1286.

Provider Profile Details

NPI Number
1356642540
Provider Name
Michael A Mandino Jr D.d.s Dr Louis A Juliano D.d.s. LLC
Provider Entity Type
Organization
Address
276 Highland Ave, Waterbury, CT 06708-3022
Phone Number
203-575-9798
Fax Number
203-575-1286
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Dr. Michael A Mandino, DDS · Owner · 203-575-9798
Provider Enumeration Date
November 4, 2010
Last Update Date
November 10, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
276 Highland Ave
Waterbury, CT 06708-3022
Zip
06708-3022
Phone Number
203-575-9798
Fax Number
203-575-1286
Waterbury, CT 06708Get directions →

Provider Business Mailing Address Details

Address
276 Highland Ave
Waterbury, CT 06708-3022
City
Waterbury
State
CT
Zip
06708-3022
Phone Number
203-575-9798
Fax Number
203-575-1286

License Information

License Number (1)
4750
License State (1)
CT
Taxonomy (1)
Dentist · 122300000X
License Number (2)
10118
License State (2)
CT
Taxonomy (2)
Dentist · 122300000X
Taxonomy (3)
Dentist, General Practice · 1223G0001X
License Number (4)
4393
License State (4)
CT
Taxonomy (4)
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michael A Mandino Jr D.d.s Dr Louis A Juliano D.d.s. LLC?

The NPI number of Michael A Mandino Jr D.d.s Dr Louis A Juliano D.d.s. LLC is 1356642540. It was assigned on November 4, 2010 and is currently active in the NPPES registry.

What is the specialty of Michael A Mandino Jr D.d.s Dr Louis A Juliano D.d.s. LLC?

Michael A Mandino Jr D.d.s Dr Louis A Juliano D.d.s. LLC is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 4750.

Where does Michael A Mandino Jr D.d.s Dr Louis A Juliano D.d.s. LLC practice?

The practice location is 276 Highland Ave, Waterbury, CT 06708-3022. The office can be reached at 203-575-9798 (phone) or 203-575-1286 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356642540 directly on the NPPES registry website.

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