Mandell, Jay S.
Mandell, Jay S. is an sole proprietor health care provider with primary practice located at 55 Town Line Rd Suite 100, Wethersfield CT 06109-4352. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mandell, Jay S. can be contacted via phone (860) 563-6500.Contact Information
Primary practice address
55 Town Line Rd Suite 100
Wethersfield CT 06109-4352
Phone: (860) 563-6500
Fax: (860) 563-6501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5040 | Connecticut |
Profile Details
| NPI number | 1760632327 |
|---|---|
| LBN Legal business name | Mandell, Jay S. |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 19th, 2008 |
| Last updated | Sep 19th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760632327 | NPPES |
| Other | 5040 | STATE LICENSE |
Popular Providers
-
Sponzo, Thomas S
1299 Silas Deane Hwy Suite 1, Wethersfield CT 06109-4302 -
Phadnis, Ukti Gohel
55 Town Line Rd Ste 100 , Wethersfield CT 06109-4317 -
Kulkarni, Rajeev A
Preventative & Oral Systemic Health Practice 185 Silas Deane Hwy Suite 208, Wethersfield CT 06109 -
Nguyen, James
1402 Berlin Tpke , Wethersfield CT 06109-1010 -
Katz, Stephanie L.
24 Wolcott Hill Rd , Wethersfield CT 06109-1152 -
Hopkins, Ly
1402 Berlin Tpke , Wethersfield CT 06109-1010 -
Khelman, Yana
239 Silas Deane Highway , Wethersfield CT 06109 -
Thomsen, Jeffrey E.
55 Town Line Rd Suite 202, Wethersfield CT 06109-4352