1. Home
  2. Directory
  3. Connecticut
  4. Middlebury
  5. Dentist
  6. NPI Profile

DR MANDAVA DDS FAMILY DENTISTRY PC
NPI 1366868697
Dentist - General Practice in Middlebury, CT

Active since March 11, 2014
415 MIDDLEBURY RD, MIDDLEBURY, CT 06762(203) 758-2116(203) 758-9522 Get Directions Write a Review

NPPES record last updated: March 11, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr Mandava Dds Family Dentistry Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR MANDAVA DDS FAMILY DENTISTRY PC (NPI 1366868697) is a healthcare organization registered as a general practice in Middlebury, Connecticut and active in the NPI registry since March 2014. The organization lists Ratnakar R Mandava, President, as its authorized official.

NPPES Registry Identity

NPI1366868697
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDR MANDAVA DDS FAMILY DENTISTRY PC
Location Address415 MIDDLEBURY RDMiddlebury, CT 06762-2537
Mailing Address415 Middlebury RdMiddlebury, CT 06762-2537 · (203) 758-2116 · Fax (203) 758-9522
Phone(203) 758-2116
Fax(203) 758-9522
Organization SubpartNo
Authorized OfficialRatnakar R MandavaPresident · (203) 758-2116
Enumeration DateMarch 11, 2014
✔ NPI 1366868697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
415 MIDDLEBURY RD, Middlebury, CT 06762
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICHARD N SMITH DDS
Dentist (General Practice)
415 MIDDLEBURY RD
MIDDLEBURY, CT 06762
Naugatuck Valley Planning Region (203) 758-2116
PATRICK FETTINGER DPM
Durable Medical Equipment & Medical Supplies (Customized Equipment)
415 MIDDLEBURY RD
MIDDLEBURY, CT 06762
Naugatuck Valley Planning Region (203) 598-0357
MIDDLEBURY DENTAL GROUP PLLC
Clinic/Center (Dental)
415 MIDDLEBURY RD
MIDDLEBURY, CT 06762
Naugatuck Valley Planning Region (203) 758-2116
RICHARD N. SMITH, DDS, PC
Dentist (General Practice)
415 MIDDLEBURY RD
MIDDLEBURY, CT 06762
Naugatuck Valley Planning Region (203) 758-2116

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr Mandava Dds Family Dentistry PC's NPI number?

The NPI number for Dr Mandava Dds Family Dentistry PC is 1366868697. It was assigned to this organization in the NPPES registry on March 11, 2014.

Where is Dr Mandava Dds Family Dentistry PC located?

Dr Mandava Dds Family Dentistry PC is located at 415 Middlebury Rd, Middlebury, CT 06762. The listed phone number is (203) 758-2116.

What is Dr Mandava Dds Family Dentistry PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Dr Mandava Dds Family Dentistry PC was last updated on March 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.