Bruce Jay Tandy, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5632 Issued in CT

Practice address

281 Hartford Tpke
Suite 105
Vernon, CT 06066-4784

Phone

(860) 875-2881

Fax

(860) 875-1129

NPI assigned

Nov 1, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225497600000",
    "number": "1013160167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 HARTFORD TPKE",
            "address_2": "SUITE 105",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664784",
            "telephone_number": "860-875-2881",
            "fax_number": "860-875-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 HARTFORD TPKE",
            "address_2": "SUITE 105",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664784",
            "telephone_number": "860-875-2881",
            "fax_number": "860-875-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANDY",
        "first_name": "BRUCE",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-01",
        "last_updated": "2008-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "5632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Elizabeth Sullivan, AGNP-C
• Erin Katharine Sweeney, OTR/L
• Patricia Szafir
• Melissa Ann Szczycinski, LCSW
• Lisa Talati, DO
• Tynisha Teal, MSW
• Theresa Y Mangual MD
• Andrea M. Thoman, CPNP, APRN
• Eric Michael Thompson, DPM
• Andrew M Toce, LPC

• General Practice Dentistry in Vernon, CT
• Providers in Vernon, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.