DR. VIJITHA BANDLA (NPI# 1235652314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235652314 |
| Entity Type | Individual |
| Full Name | DR. VIJITHA BANDLA |
| Practice Address |
738 Wolcott St Waterbury CT 06705-1336 |
| Mailing Address |
505 Woodland Hills Dr Trumbull CT 06611-6360 |
| Practice Telephone | 2034376213 |
| Mailing Telephone | 5056036715 |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2017-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
11866 | CT | Dental Providers |
| Street Address |
738 WOLCOTT ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06705-1336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639550577 | Barbara Anne Graham | Dentist | 738 Wolcott St, Waterbury, CT 06705-1336 | 2015-06-16 |
| 1417436205 | John Ogara | Dentist | 738 Wolcott St, Waterbury, CT 06705-1336 | 2018-08-13 |
| 1033626171 | Li Ma | Dentist | 738 Wolcott St, Waterbury, CT 06705-1336 | 2018-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598245037 | Karanbeer Singh Aulakh | Dentist | Smile & Shine Dental, 158 Manor Avenue, Waterbury, CT 06705 | 2018-08-15 |
| 1912495797 | Jennie Webb | Physician Assistant | 2247 E Main St Ste 103, Waterbury, CT 06705 | 2018-04-26 |
| 1558886671 | Macaela Cirish | Nurse Practitioner | 3801 East Main Street, Second Floor, Waterbury, CT 06705 | 2017-08-09 |
| 1033648464 | Mahwish Makhdoom | Pharmacist | 464 Reidville Drive, Waterbury, CT 06705 | 2017-06-08 |
| 1417407248 | Jaswinder Gulati | Dentist | 939 Wolcott Street Unit 5b, Waterbury, CT 06705 | 2016-10-05 |
| 1407272107 | Cori Capuano | Counselor | 230 Frost Rd Unit B, Waterbury, CT 06705 | 2014-03-05 |
| 1528403177 | Daniel G. Brennan | Dentist | 2457 East Main St, Waterbury, CT 06705 | 2013-05-08 |
| 1538419742 | Jenna Elizabeth Partola | Physician Assistant | 1327 Meriden Rd, Wolcott, CT 06705 | 2012-09-14 |
| 1710244785 | Mirta Sabino | Counselor | 126 Stonefield Dr, Waterbury, CT 06705 | 2012-04-16 |
| 1578849519 | Uday Shankar | Internal Medicine | 3801 E Main St Fl 2, Waterbury, CT 06705 | 2011-10-21 |
| Find all providers in zip 06705 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831758754 | Ivette Lora | Dentist | 3670 E Main St Ste 10, Waterbury, CT 06705-3871 | 2019-06-13 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1093161234 | Smile and Shine Dental, LLC | Dentist | 158 Manor Avenue, Waterbury, CT 06705-1206 | 2016-05-06 |
| 1639550577 | Barbara Anne Graham | Dentist | 738 Wolcott St, Waterbury, CT 06705-1336 | 2015-06-16 |
| 1528403177 | Daniel G. Brennan | Dentist | 2457 East Main St, Waterbury, CT 06705 | 2013-05-08 |
| 1255670816 | Lon Polverari | Dentist | 835 Wolcott St, Waterbury, CT 06705-1315 | 2013-02-01 |
| 1568700920 | Brass City Dentistry | Dentist | 3670 E Main St, Suite 10, Waterbury, CT 06705-3851 | 2013-01-19 |
| 1821344532 | Sumit Sehgal | Dentist | 133 Scovill St Ste 213, Waterbury, CT 06706-1127 | 2012-07-31 |
| 1346559499 | Roman Shamuelov | Dentist | 1127 West Main Street, Waterbury, CT 06708 | 2010-10-06 |
| Find all providers in WATERBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.