Active NPIIndividual providerSole proprietor

Dr. Jay S Mandell, DMD

Dentist, General Practice in Wethersfield, Connecticut

NPI Number1760632327
Practice location
55 Town Line RD, Suite 100, Wethersfield, CT 06109-4352
Fax
860-563-6501
Last updated
September 19, 2008

Jay S. Mandell is a Dentist, General Practice based in Wethersfield, CT. Jay S. Mandell practices in Wethersfield, CT and has the professional credentials of DMD. The NPI Number for Jay S. Mandell is 1760632327 and holds a License No. 5040 (CT). The current practice location address for Jay S. Mandell is 55 Town Line RD, Suite 100, Wethersfield, CT 06109-4352 and can be reached out via phone at 860-563-6500 and via fax at 860-563-6501.

Provider Profile Details

NPI Number
1760632327
Provider Name
Jay S. Mandell
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
55 Town Line RD, Suite 100, Wethersfield, CT 06109-4352
Phone Number
860-563-6500
Fax Number
860-563-6501
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
September 19, 2008
Last Update Date
September 19, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Town Line RD
Suite 100
Wethersfield, CT 06109-4352
Zip
06109-4352
Phone Number
860-563-6500
Fax Number
860-563-6501
Wethersfield, CT 06109Get directions →

Provider Business Mailing Address Details

Address
55 Town Line RD
Suite 100
Wethersfield, CT 06109-4352
City
Wethersfield
State
CT
Zip
06109-4352
Phone Number
860-563-6500
Fax Number
860-563-6501

License Information

License Number
5040
License State
CT
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. Jay S Mandell, DMD?

The NPI number of Dr. Jay S Mandell, DMD is 1760632327. It was assigned on September 19, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Jay S Mandell, DMD?

Dr. Jay S Mandell, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 5040.

Where does Dr. Jay S Mandell, DMD practice?

The practice location is 55 Town Line RD, Suite 100, Wethersfield, CT 06109-4352. The office can be reached at 860-563-6500 (phone) or 860-563-6501 (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 1760632327 directly on the NPPES registry website.

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