STATE DENTAL
NPI 1619390853
Dentist in Waterbury, CT

Active since January 23, 2014
1336 W MAIN ST, SUITE 2B, WATERBURY, CT 06708(203) 754-4175(203) 596-1917 Get Directions Write a Review

NPPES record last updated: January 23, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About State Dental NPPES

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

STATE DENTAL (NPI 1619390853) is a healthcare organization registered as a dentist in Waterbury, Connecticut and active in the NPI registry since January 2014. The organization lists Mark Horowitz, Dentist, as its authorized official.

NPPES Registry Identity

NPI1619390853
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSTATE DENTAL
Location Address1336 W MAIN ST, SUITE 2BWaterbury, CT 06708-3122
Mailing Address1336 W Main St, Suite 2bWaterbury, CT 06708-3122 · (203) 754-4175 · Fax (203) 596-1917
Fax(203) 596-1917
Organization SubpartNo
Authorized OfficialMark HorowitzDentist · (203) 754-4175
Enumeration DateJanuary 23, 2014
NPI 1619390853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CT · 006616
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1336 W MAIN ST, Waterbury, CT 06708

Other Identifiers 2

Medicaid004116704CT
Medicaid002066167CT

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 3

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

Chiropractor
1336 W MAIN ST
WATERBURY, CT 06708
Social Worker (Clinical)
1336 W MAIN ST
WATERBURY, CT 06708
Specialist
1336 W MAIN ST, SUITE 1A
WATERBURY, CT 06708

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 State Dental's NPI number?

The NPI number for State Dental is 1619390853. It was assigned to this organization in the NPPES registry on January 23, 2014.

Where is State Dental located?

State Dental is located at 1336 W Main St Suite 2B, Waterbury, CT 06708. The listed phone number is (203) 754-4175.

What is State Dental's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for State Dental was last updated on January 23, 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.