Active NPIIndividual provider

Manoja R Kanchumarthi, DDS

Dentist in Bristol, Connecticut

NPI Number1881576031
Practice location
123 Farmington Ave Ste P2, Bristol, CT 06010-4200
Fax
—
Last updated
July 21, 2025

Manoja R Kanchumarthi is a Dentist based in Bristol, CT. Manoja R Kanchumarthi practices in Bristol, CT and has the professional credentials of DDS. The NPI Number for Manoja R Kanchumarthi is 1881576031 and holds a License No. 14526 (CT). The current practice location address for Manoja R Kanchumarthi is 123 Farmington Ave Ste P2, Bristol, CT 06010-4200 and can be reached out via phone at 860-845-8872.

Provider Profile Details

NPI Number
1881576031
Provider Name
Manoja R Kanchumarthi
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
123 Farmington Ave Ste P2, Bristol, CT 06010-4200
Phone Number
860-845-8872
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
July 21, 2025
Last Update Date
July 21, 2025
Certification Date
July 21, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
123 Farmington Ave Ste P2
Bristol, CT 06010-4200
Zip
06010-4200
Phone Number
860-845-8872
Bristol, CT 06010Get directions →

Provider Business Mailing Address Details

Address
123 Farmington Ave Ste P2
Bristol, CT 06010-4200
City
Bristol
State
CT
Zip
06010-4200
Phone Number
860-845-8872

License Information

License Number
14526
License State
CT
Taxonomy
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 Manoja R Kanchumarthi, DDS?

The NPI number of Manoja R Kanchumarthi, DDS is 1881576031. It was assigned on July 21, 2025 and is currently active in the NPPES registry.

What is the specialty of Manoja R Kanchumarthi, DDS?

Manoja R Kanchumarthi, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 14526.

Where does Manoja R Kanchumarthi, DDS practice?

The practice location is 123 Farmington Ave Ste P2, Bristol, CT 06010-4200. The office can be reached at 860-845-8872 (phone).

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 1881576031 directly on the NPPES registry website.

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