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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 Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for DR MANDAVA DDS FAMILY DENTISTRY PC

NPI # 1366868697
LBN Legal business name DR MANDAVA DDS FAMILY DENTISTRY PC
Authorized official RATNAKAR MANDAVA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/11/2014
Last updated 03/11/2014 - About 12 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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