Organization · Type 2 NPI

New: Berlin Oral and Implant Surgery PLLC

Oral and Maxillofacial Surgery (Dentist) · Berlin, CT

NPI number 1710650841 Active

Practice location

5 Webster Square
Berlin, CT 06037-2326

Mailing address

483 Middle Tpke W Ste 102
Manchester, CT 06040-3864

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

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 1710650841

New: Berlin Oral and Implant Surgery PLLC's National Provider Identifier is 1710650841, issued on Jul 26, 2021. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Berlin, CT. The record was last updated on Jun 16, 2025.