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ORAL & MAXILLOFACIAL SURGERY ASSOCIATES OF GREATER NEW HAVEN P.C. NPI 1235257148


NPI Information

NPI: 1235257148
Provider Name: ORAL & MAXILLOFACIAL SURGERY ASSOCIATES OF GREATER NEW HAVEN, P.C.
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
136 SHERMAN AVE
SUITE #402
NEW HAVEN, CT
ZIP 06511
Phone: (203) 865-0807
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ORAL & MAXILLOFACIAL SURGERY ASSOCIATES OF GREATER NEW HAVEN, P.C. 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. ORAL & MAXILLOFACIAL SURGERY ASSOCIATES OF GREATER NEW HAVEN, P.C. NPI is 1235257148. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

136 SHERMAN AVE
SUITE #402
NEW HAVEN, CT
ZIP 06511-238
Phone: (203) 865-0807
Fax: (203) 562-4922

The provider's authorized official is Leonard Warren Skope .
The authorized official title is President and has the following contact phone number (203) 865-0807.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 8/22/2020.


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 Surgery005198CONNECTICUTYes

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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