Hillary Anne Mendillo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010766 Issued in CT

Practice address

62 Kirkham St
Branford, CT 06405-3504

Phone

(203) 488-6314

NPI assigned

Jun 26, 2012

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mendillo Family Dentistry PLLC

  • General Practice Dentistry
  • Branford, CT
  • NPI 1255971297
  NPD Authorized official
• James H. Mendillo, DMD

  • General Practice Dentistry
  • Branford, CT
  • NPI 1518221092
  NPD (past)

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1144584954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WILFORD AVE",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053823",
            "telephone_number": "203-589-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 KIRKHAM ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053504",
            "telephone_number": "203-488-6314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDILLO",
        "first_name": "HILLARY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camryn Jean McGuire, RN, MSN, PMHNP-BC
• Jessica Lynn McMahon, OTR/L
• Susan McNamara, L C S W
• Gloria Shanelle McPherson, LPCA
• Mendillo Family Dentistry PLLC
• James Hamilton Mendillo, DMD
• Allegra Rose Menniti, RN
• Alan Meyers, M.D.
• David Mark Meyers, LCSW
• John D Michalak, D.M.D.

• General Practice Dentistry in Branford, CT
• Providers in Branford, 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 Jun 26, 2012; 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.