NPI: 1992109656
Provider Name: NEW HAVEN IMPLANT AND ORAL SURGERY, LLC
Former Legal Business Name: CONNECTICUT IMPLANT AND ORAL SURGERY SPECIALISTS, LLC
Classification: Dentist - 1223S0112X
Entity Type: Organization
Specialization: Oral and Maxillofacial Surgery
Address:
1423 CHAPEL ST
UNIT 3C
NEW HAVEN, CT
ZIP 06511
Phone: (203) 787-6581
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NEW HAVEN IMPLANT AND ORAL SURGERY, LLC 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. NEW HAVEN IMPLANT AND ORAL SURGERY, LLC NPI is 1992109656. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Connecticut Implant And Oral Surgery Specialists, Llc.
The provider's business location address is:
1423 CHAPEL ST
UNIT 3C
NEW HAVEN, CT
ZIP 06511-411
Phone: (203) 787-6581
The provider's authorized official is Jordan Greenberg .
The authorized official title is Member/president and has the following contact phone number (914) 355-0840.
The enumeration date for this NPI number is 10/9/2014 and was last updated on 10/22/2014.