National Provider Identifier Database

DR MANDAVA DDS FAMILY DENTISTRY PC
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

DR MANDAVA DDS FAMILY DENTISTRY PC
415 MIDDLEBURY RD
MIDDLEBURY, CT06762-2537
Phone: 203-758-2116
Fax: 203-758-9522
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for DR MANDAVA DDS FAMILY DENTISTRY PC

NPI Number 1366868697
Legal business name
LBN
DR MANDAVA DDS FAMILY DENTISTRY PC
Authorized official RATNAKAR MANDAVA - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/11/2014
Last updated 03/11/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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