Organization · Type 2 NPI

Connecticut Center for Oral Facial and Implant Surgery PC

Oral and Maxillofacial Surgery Clinic/Center · West Hartford, CT

NPI number 1053782060 Active

Practice location

80 S Main St
West Hartford, CT 06107-2408

Fax (860) 231-1032

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery Clinic/Center Primary 261QS0112X011331 (CT)

Oral and Maxillofacial Surgery Clinic/Center: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

3 other providers at this address

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About NPI 1053782060

Connecticut Center for Oral Facial and Implant Surgery PC's National Provider Identifier is 1053782060, issued on Oct 16, 2015. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in West Hartford, CT. The record was last updated on Oct 17, 2022.