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CONNECTICUT SURGICAL ARTS LLC NPI 1730506700


NPI Information

NPI: 1730506700
Provider Name: CONNECTICUT SURGICAL ARTS, LLC
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization

CLIA Number: 07D2236462

Address:
159 SACHEM ST
NORWICH, CT
ZIP 06360
Phone: (860) 885-0444
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CONNECTICUT SURGICAL ARTS, LLC is an oral maxillofacial surgery in Norwich, CT. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. CONNECTICUT SURGICAL ARTS, LLC NPI is 1730506700. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

159 SACHEM ST
NORWICH, CT
ZIP 06360-144
Phone: (860) 885-0444
Fax: (860) 885-0816

The provider's authorized official is Richard J. Martin .
The authorized official title is Director and has the following contact phone number (860) 885-0444.

The CLIA number assigned to this NPI record is 07D2236462 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2014 and was last updated on 3/27/2014.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12082S0099XPlastic SurgeryPlastic Surgery Within the Head and NeckNo
2204E00000XOral & Maxillofacial SurgeryYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H06445MEDICARE UPINCONNECTICUT

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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