Joseph Anthony Manzella-Kane, DDS

Individual provider Active NPI Dentist · North Branford, CT

NPI 1336718428 · NPPES record last updated Jun 23, 2026

Key facts

NPI
1336718428
Entity type
Individual (NPI type 1)
Primary specialty
Dentist 122300000X
License
13495 (CT)
Practice address
337 Notch Hill Rd
North Branford, CT 06471-1826
Phone
(203) 488-6343
NPI assigned
Jun 22, 2021
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240109001342 RI Practitioner - Dentist 2769883032 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
DEN03642RIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Hospital Current
since Nov 6, 2023
Accepting new patients
Rhode Island Hospital Current
since Nov 6, 2023
Accepting new patients

Locations

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

593 Eddy St
Providence, RI 02903

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN03642 RI
Dentist 122300000X 13495 CT Yes

Addresses

Primary practice location

337 Notch Hill Rd
North Branford, CT 06471-1826

Mailing address

337 Notch Hill Rd
North Branford, CT 06471-1826
Phone (203) 488-6343

Other practice location 1

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-5284

Other names

  • Dr. Joseph Anthony Manzella Jr. Former name

Other providers in North Branford, CT

All providers in North Branford, CT · Dentist in Connecticut

Sources for this page

Verify at the official NPI Registry.