Organization · Type 2 NPI
Southington Oral & Maxillofacial Surgeons, PC
Oral and Maxillofacial Surgery (Dentist) · Southington, CT
NPI number
1457731135
Active
Practice location
256 N Main St
Southington, CT 06489-2524
Fax (860) 276-0368
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 7302 (CT) |
Oral and Maxillofacial Surgery (Dentist): 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.
About NPI 1457731135
Southington Oral & Maxillofacial Surgeons, PC's National Provider Identifier is 1457731135, issued on Jun 8, 2015. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Southington, CT. The record was last updated on Jun 8, 2015.