GREATER WATERBURY ORAL & MAXILLOFACIAL SURGEONS LLC NPI 1033136825

NPI Information

  • NPI: 1033136825
  • Provider Name: GREATER WATERBURY ORAL & MAXILLOFACIAL SURGEONS LLC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 1389 W MAIN ST
    SUITE 320
    WATERBURY, CT
    ZIP 06708
  • Phone: (203) 573-1427

Map and Directions

Get Directions

NPI Details

GREATER WATERBURY ORAL & MAXILLOFACIAL SURGEONS LLC is an oral and maxillofacial surgery dentist in Waterbury, 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. GREATER WATERBURY ORAL & MAXILLOFACIAL SURGEONS LLC NPI is 1033136825. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1389 W MAIN ST
SUITE 320
WATERBURY, CT
ZIP 06708-104
Phone: (203) 573-1427
Fax: (203) 574-2460

The provider's authorized official is John J Hillgen .
The authorized official title is Owner and has the following contact phone number (203) 573-1427.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 4/9/2015.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryYes

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: 11/21/2025

NPI Synchronization or Removal

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.