NPIMap

Organization Active NPI

Rocky Hill Dental Associates, P.C.

  • General Practice Dentistry
  • Wethersfield, CT
National Provider Identifier
1609814730
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5040 Issued in CT
Legal business name
ROCKY HILL DENTAL ASSOCIATES, P.C.
Practice address
55 Town Line Rd
Suite 100
Wethersfield, CT 06109-4352
Phone
(860) 563-6500
Fax
(860) 563-6501
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jay S. Mandell, DMDNPI 1760632327
Title
President
Phone
(860) 563-6500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5040 CT Primary

Addresses

Primary practice location

55 Town Line Rd
Suite 100
Wethersfield, CT 06109-4352

Mailing address

55 Town Line Rd
Suite 100
Wethersfield, CT 06109-4352
Phone (860) 563-6500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609814730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 TOWN LINE RD",
            "address_2": "SUITE 100",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094352",
            "telephone_number": "860-563-6500",
            "fax_number": "860-563-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 TOWN LINE RD",
            "address_2": "SUITE 100",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094352",
            "telephone_number": "860-563-6500",
            "fax_number": "860-563-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY HILL DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANDELL",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-563-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "5040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wethersfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.