Active NPIOrganization

Dr Mandava DDS Family Dentistry PC

Dentist, General Practice in Middlebury, Connecticut

NPI Number1366868697
Practice location
415 Middlebury RD, Middlebury, CT 06762-2537
Fax
203-758-9522
Last updated
March 11, 2014

Dr Mandava DDS Family Dentistry PC is a healthcare organization based in Middlebury, CT. Dr Mandava DDS Family Dentistry PC practices in Middlebury, CT. The NPI Number for Dr Mandava DDS Family Dentistry PC is 1366868697. The current practice location address for Dr Mandava DDS Family Dentistry PC is 415 Middlebury RD, Middlebury, CT 06762-2537 and can be reached out via phone at 203-758-2116 and via fax at 203-758-9522.

Provider Profile Details

NPI Number
1366868697
Provider Name
Dr Mandava DDS Family Dentistry PC
Provider Entity Type
Organization
Address
415 Middlebury RD, Middlebury, CT 06762-2537
Phone Number
203-758-2116
Fax Number
203-758-9522
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Ratnakar R Mandava, DDS · President · 203-758-2116
Provider Enumeration Date
March 11, 2014
Last Update Date
March 11, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
415 Middlebury RD
Middlebury, CT 06762-2537
Zip
06762-2537
Phone Number
203-758-2116
Fax Number
203-758-9522
Middlebury, CT 06762Get directions →

Provider Business Mailing Address Details

Address
415 Middlebury RD
Middlebury, CT 06762-2537
City
Middlebury
State
CT
Zip
06762-2537
Phone Number
203-758-2116
Fax Number
203-758-9522

License Information

Taxonomy
Dentist, General Practice · 1223G0001X · 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 Dr Mandava DDS Family Dentistry PC?

The NPI number of Dr Mandava DDS Family Dentistry PC is 1366868697. It was assigned on March 11, 2014 and is currently active in the NPPES registry.

What is the specialty of Dr Mandava DDS Family Dentistry PC?

Dr Mandava DDS Family Dentistry PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).

Where does Dr Mandava DDS Family Dentistry PC practice?

The practice location is 415 Middlebury RD, Middlebury, CT 06762-2537. The office can be reached at 203-758-2116 (phone) or 203-758-9522 (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 1366868697 directly on the NPPES registry website.

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