Individual provider · Type 1 NPI

Ryaz Ansari, DDS

Oral and Maxillofacial Surgery (Dentist) · Manchester, CT

NPI number 1497774152 Active

Practice location

483 Middle Tpke W, Suite 102
Manchester, CT 06040-3863

Fax (860) 649-4538

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X009050 (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.

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About NPI 1497774152

Ryaz Ansari, DDS's National Provider Identifier is 1497774152, issued on Jul 19, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Manchester, CT. The record was last updated on Oct 20, 2020.