RATNAKAR MANDAVA (NPI# 1457353377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457353377 |
| Entity Type | Individual |
| Full Name | RATNAKAR MANDAVA |
| Credential | DMD |
| Practice Address |
1302 S Main St Waterbury CT 06706-1748 |
| Mailing Address |
1314 Town Colony Dr Middletown CT 06457-5935 |
| Practice Telephone | 2037568021 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
009395 | CT | Dental Providers |
| Street Address |
1302 S MAIN ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06706-1748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780685610 | Paula Magalhaes Coelho | Dental Hygienist | 1302 S Main St, Waterbury, CT 06706-1748 | 2005-08-02 |
| 1568017671 | Debora Rocha Donascimento-silva | Dental Hygienist | 1302 S Main St, Waterbury, CT 06706-1748 | 2019-08-06 |
| 1427530575 | Amy L Backstrom | Dental Hygienist | 1302 S Main St, Waterbury, CT 06706-1748 | 2018-09-05 |
| 1083101349 | Karen Cooper-tripp | Registered Nurse | 1302 S Main St, Waterbury, CT 06706-1748 | 2018-04-21 |
| 1033647243 | Ezequiel Alvarez-figueroa | Dental Hygienist | 1302 S Main St, Waterbury, CT 06706-1748 | 2017-06-01 |
| 1972044832 | Angel M. Laplante | Dental Hygienist | 1302 S Main St, Waterbury, CT 06706-1748 | 2017-03-12 |
| 1033580337 | Sonila Alickolli | Dental Hygienist | 1302 S Main St, Waterbury, CT 06706-1748 | 2015-10-13 |
| 1316333990 | Monika Mishra | Internal Medicine | 1302 S Main St, Waterbury, CT 06706-1748 | 2015-04-10 |
| 1184978173 | Brittny Ann Sciarra | Dental Hygienist | 1302 S Main St, Waterbury, CT 06706-1748 | 2012-10-30 |
| 1932355567 | Staywell Health Care, Inc. | Clinic/Center | 1302 S Main St, Waterbury, CT 06706-1748 | 2008-08-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245750538 | Sameerah Ibtisam Rehmani | Internal Medicine | St Mary's Hospital, 56 Franklin Street, Waterbury, CT 06706 | 2017-06-27 |
| 1417208448 | Sherry L Gatling | Durable Medical Equipment & Medical Supplies | 394 Mill Street, 2nd Flr N, Waterbury, CT 06706 | 2012-10-01 |
| 1144505538 | Amanda Maria Delcavo | Physician Assistant | 50 Franklin Street, Waterbury, CT 06706 | 2011-10-17 |
| 1508097031 | Lauren K Ayr-volta | Clinical Neuropsychologist | 133 Scovill Street, Suite 211, Waterbury, CT 06706 | 2009-07-31 |
| 1538206800 | John Chardavoyne | Psychiatry & Neurology | Waterbury Outpatient Clinic, 95 Scovill Street, Waterbury, CT 06706 | 2007-01-30 |
| 1922111632 | Thomas Owen Genese | Internal Medicine | 56 Franklin Street, St. Mary's Hospital - Dept of Medicine, Waterbury, CT 06706 | 2006-08-16 |
| 1013942465 | Nancy Lou Kline | Nurse Practitioner | 133 Scovill Street-waterbury Va Community Based Clinic, #203, Waterbury, CT 06706 | 2006-07-12 |
| 1013455351 | Denisse Burgos-jimenez | Physician Assistant | 56 Franklin St, Waterbury, CT 06706 | 2017-02-07 |
| 1902255086 | Kaitlyn Jennings | Physician Assistant | 56 Franklin St, Waterbury, CT 06706 | 2016-06-08 |
| 1366823783 | Yamini Sachan | Internal Medicine | 56 Franklin Street, Waterbury, CT 06706 | 2015-06-11 |
| Find all providers in zip 06706 | ||||
| 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.