Mattatuck Dentistry & Implants

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MATTATUCK DENTISTRY & IMPLANTS

Practice address

109 Watertown Ave Ste 2
Waterbury, CT 06708-2623

Phone

(860) 997-0569

NPI assigned

Mar 20, 2026

Organization subpart

No

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

Authorized official

Name

Angelina Blankschen

Title

Cfo/Manager

Phone

(860) 997-0569

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1773964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1972451268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 WATERTOWN AVE STE 2",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082623",
            "telephone_number": "860-997-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WATERTOWN AVE STE 2",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082623",
            "telephone_number": "860-997-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTATUCK DENTISTRY & IMPLANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-20",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "BLANKSCHEN",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_title_or_position": "CFO/MANAGER",
        "authorized_official_telephone_number": "860-997-0569"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronni Ellen Mathews, M.S., CCC-A
• Susan A Mathews, LPCA
• Zaira Ivelisse Matias
• Linda M Matonis, M.D.
• Ken Matsuo, MD
• Mattatuck Health Care Facility, Inc.
• Christine Marie Matthews, LPC ASSOCIATE
• Lynn Anne Matthews, OTR/L
• Michelle A Mattiaccio, APRN BC
• Katie Mattson, INTERNSHIP

• General Practice Dentistry in Waterbury, CT
• Providers in Waterbury, 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 Mar 20, 2026; 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.