Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dental Group of Waterbury, LLC

Organization Dentist · NPI 1164745956

Dental Group of Waterbury, LLC provides Dentist services in Waterbury, Connecticut. Licensed in Connecticut. Registered with an NPI since 2010.

Licensed in
CT
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1127 W Main St
Waterbury, CT 06708-2764 Not confirmed with CMS for 15 years — call before visiting
Phone: (203) 573-9989
Fax: (203) 759-0239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 008810 (CT)

Record details

NPI number1164745956
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roxanne Tamayo-Bordies — Owner · 2032035739989
NPI enumeratedMarch 8, 2010
Last updated in NPPESDecember 9, 2010
Mailing address1127 W Main St, Waterbury, CT 06708-2764

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