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ORAL AND MAXILLOFACIAL SURGICAL ASSOCIATES PC NPI 1063700037


NPI Information

NPI: 1063700037
Provider Name: ORAL AND MAXILLOFACIAL SURGICAL ASSOCIATES, PC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1423 CHAPEL ST
THIRD FLOOR
NEW HAVEN, CT
ZIP 06511
Phone: (203) 787-6581
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ORAL AND MAXILLOFACIAL SURGICAL ASSOCIATES, PC is an oral and maxillofacial surgery dentist in New Haven, CT. The provider is an oral and maxillofacial surgery dentist specialized in 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. ORAL AND MAXILLOFACIAL SURGICAL ASSOCIATES, PC NPI is 1063700037. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1423 CHAPEL ST
THIRD FLOOR
NEW HAVEN, CT
ZIP 06511-411
Phone: (203) 787-6581
Fax: (203) 782-6389

The provider's authorized official is Robert Russell Sorrentino .
The authorized official title is President and has the following contact phone number (203) 787-6581.

The enumeration date for this NPI number is 7/12/2011 and was last updated on 7/12/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery5139CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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