OrganizationActive
State Dental
NPI 1619390853 · Dentist · Waterbury, CT
State Dental is a Dentist organization in Waterbury, CT (NPI 1619390853).
Provider details
- NPI number
- 1619390853
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Mark Horowitz, Dentist(203) 754-4175
- License
- 006616 (CT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1336 W Main St
Suite 2b
Waterbury, CT 06708-3122
Phone: (203) 754-4175
Fax: (203) 596-1917
Street-level locationGet directions
Mailing address
1336 W Main St
Waterbury, CT 06708-3122
Registry dates
- Enumerated
- 2014-01-23
- Last updated
- 2014-01-23
Frequently asked questions
- What is State Dental's NPI number?
- State Dental's National Provider Identifier (NPI) is 1619390853, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is State Dental?
- State Dental is classified in the NPPES registry as Dentist (Dental Providers).
- Where is State Dental located?
- State Dental's practice location on file with NPPES is 1336 W Main St, Waterbury, CT 06708-3122.
- What is State Dental's phone number?
- The practice phone number listed in the NPPES registry for State Dental is (203) 754-4175.
- Who is the authorized official for State Dental?
- The authorized official listed on State Dental's NPPES record is Mark Horowitz, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is State Dental's NPI active?
- Yes — State Dental's NPI (1619390853) is active in the NPPES registry as of the last update on 2014-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.