CENTRAL CTONNECTICUT ORAL MAXILLOFACIAL& IMPLANT SURGERY PC NPI 1104183409

NPI Information

CENTRAL CTONNECTICUT ORAL MAXILLOFACIAL& IMPLANT SURGERY, PC is an oral and maxillofacial surgery clinic center in West Hartford, CT. The provider is an oral and maxillofacial surgery clinic or center 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. CENTRAL CTONNECTICUT ORAL MAXILLOFACIAL& IMPLANT SURGERY, PC NPI is 1104183409. The provider is registered as an organization entity type.

The provider's business location address is:

836 FARMINGTON AVE
SUITE 223
WEST HARTFORD, CT
ZIP 06119-505
Phone: (860) 586-8507
Fax: (860) 586-8697

The provider's authorized official is Joseph R Howard .
The authorized official title is Oral Surgeon and has the following contact phone number (860) 586-8507.

The enumeration date for this NPI number is 4/12/2012 and was last updated on 2/18/2014.

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.