YALE-NEW HAVEN HOSPITAL NPI 1528453883

NPI Information

YALE-NEW HAVEN HOSPITAL 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. YALE-NEW HAVEN HOSPITAL NPI is 1528453883. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1450 CHAPEL ST
ORAL & MAXILLOFACIAL SURGERY
NEW HAVEN, CT
ZIP 06511-405
Phone: (203) 688-1288
Fax: (203) 688-4461

The provider's authorized official is Richard D'aquilla .
The authorized official title is President and has the following contact phone number (203) 688-2606.

The CLIA number assigned to this NPI record is 07D0866997 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/3/2015 and was last updated on 4/3/2015.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.