Active NPI
Marlena Tomaszewski, RDH
- Dental Hygienist
- Manchester, CT
National Provider Identifier
1710604129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 8448
- Practice address
- 240 Spencer St
Manchester, CT 06040-4618 - Phone
- (860) 645-8000
- Fax
- (860) 533-7338
- NPI assigned
- Oct 26, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 8448 | CT | Primary |
Addresses
Primary practice location
240 Spencer St
Manchester, CT 06040-4618
Mailing address
69 Cronin St
Bristol, CT 06010-7853
Other practice location 1
87 Central St
Bristol, CT 06010-7046
Phone (860) 584-2823
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8448 | CT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smiles Dental | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Bristol, CT
- NPI 1528479581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1710604129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 CRONIN ST",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060107853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 SPENCER ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060404618",
"telephone_number": "860-645-8000",
"fax_number": "860-533-7338"
}
],
"practiceLocations": [
{
"address_1": "87 Central St",
"address_purpose": "LOCATION",
"city": "Bristol",
"state": "CT",
"postal_code": "060107046",
"country_code": "US",
"telephone_number": "860-584-2823",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOMASZEWSKI",
"first_name": "MARLENA",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-26",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CT",
"license": "8448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.