OrganizationActive
Dental Group of Waterbury, LLC
NPI 1164745956 · Dentist · Waterbury, CT
Dental Group of Waterbury, LLC is a Dentist organization in Waterbury, CT (NPI 1164745956).
Provider details
- NPI number
- 1164745956
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Roxanne Tamayo-Bordies, Owner2032035739989
- License
- 008810 (CT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1127 W Main St
Waterbury, CT 06708-2764
Phone: (203) 573-9989
Fax: (203) 759-0239
Street-level locationGet directions
Mailing address
1127 W Main St
Waterbury, CT 06708-2764
Registry dates
- Enumerated
- 2010-03-08
- Last updated
- 2010-12-09
Frequently asked questions
- What is Dental Group of Waterbury, LLC's NPI number?
- Dental Group of Waterbury, LLC's National Provider Identifier (NPI) is 1164745956, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dental Group of Waterbury, LLC?
- Dental Group of Waterbury, LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Dental Group of Waterbury, LLC located?
- Dental Group of Waterbury, LLC's practice location on file with NPPES is 1127 W Main St, Waterbury, CT 06708-2764.
- What is Dental Group of Waterbury, LLC's phone number?
- The practice phone number listed in the NPPES registry for Dental Group of Waterbury, LLC is (203) 573-9989.
- Who is the authorized official for Dental Group of Waterbury, LLC?
- The authorized official listed on Dental Group of Waterbury, LLC's NPPES record is Roxanne Tamayo-Bordies, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dental Group of Waterbury, LLC's NPI active?
- Yes — Dental Group of Waterbury, LLC's NPI (1164745956) is active in the NPPES registry as of the last update on 2010-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.