HARTFORD COUNTY ORAL MAXILLOFACIAL & IMPLANT SURGERY PC is an oral and maxillofacial surgery dentist in Bristol, 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. HARTFORD COUNTY ORAL MAXILLOFACIAL & IMPLANT SURGERY PC NPI is 1821339086. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
259 FARMINGTON AVE
SUITE 1
BRISTOL, CT
ZIP 06010-969
Phone: (860) 583-6549
Fax: (860) 582-1547
The provider's authorized official is Ean James .
The authorized official title is President and has the following contact phone number (856) 361-6703.
The CLIA number assigned to this NPI record is 07D2151958 - other - urgent care with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/12/2013 and was last updated on 3/12/2013.