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CONNECTICUT ORAL & MAXILLOFACIAL SURGERY CENTERS LLC NPI 1083818710


NPI Information

NPI: 1083818710
Provider Name: CONNECTICUT ORAL & MAXILLOFACIAL SURGERY CENTERS, LLC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
323 MAIN ST
WEST HAVEN, CT
ZIP 06516
Phone: (203) 937-7181
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CONNECTICUT ORAL & MAXILLOFACIAL SURGERY CENTERS, LLC is an oral and maxillofacial surgery dentist in West 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. CONNECTICUT ORAL & MAXILLOFACIAL SURGERY CENTERS, LLC NPI is 1083818710. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

323 MAIN ST
WEST HAVEN, CT
ZIP 06516-424
Phone: (203) 937-7181
Fax: (203) 937-1940

The provider's authorized official is Jeffrey S. Berkley .
The authorized official title is Owner and has the following contact phone number (203) 937-7181.

The enumeration date for this NPI number is 6/14/2007 and was last updated on 10/3/2007.


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 Surgery7026CONNECTICUTYes

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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