Connecticut Center For Oral Facial And Implant Surgery PC
Clinic/Center, Oral and Maxillofacial Surgery in West Hartford, Connecticut
1053782060- Practice location
- 80 S Main St, West Hartford, CT 06107-2408
- Phone
- 860-231-1030
- Fax
- 860-231-1032
- Last updated
- October 17, 2022
Connecticut Center For Oral Facial And Implant Surgery PC is a healthcare organization based in West Hartford, CT. Connecticut Center For Oral Facial And Implant Surgery PC practices in West Hartford, CT. The NPI Number for Connecticut Center For Oral Facial And Implant Surgery PC is 1053782060 and holds a License No. 011331 (CT). The current practice location address for Connecticut Center For Oral Facial And Implant Surgery PC is 80 S Main St, West Hartford, CT 06107-2408 and can be reached out via phone at 860-231-1030 and via fax at 860-231-1032.
Provider Profile Details
- NPI Number
- 1053782060
- Provider Name
- Connecticut Center For Oral Facial And Implant Surgery PC
- Provider Entity Type
- Organization
- Address
- 80 S Main St, West Hartford, CT 06107-2408
- Phone Number
- 860-231-1030
- Fax Number
- 860-231-1032
- Primary Taxonomy
- Clinic/Center, Oral and Maxillofacial Surgery · 261QS0112X
- Organization Subpart
- No
- Authorized Official
- Dr. Jacob Marshall Gady, DMD, MD · President · 860-231-1030
- Provider Enumeration Date
- October 16, 2015
- Last Update Date
- October 17, 2022
- Certification Date
- July 7, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 80 S Main St
West Hartford, CT 06107-2408 - City
- West Hartford
- State
- Connecticut
- Zip
- 06107-2408
- Phone Number
- 860-231-1030
- Fax Number
- 860-231-1032
Provider Business Mailing Address Details
- Address
- 80 S Main St
West Hartford, CT 06107-2408 - City
- West Hartford
- State
- CT
- Zip
- 06107-2408
- Phone Number
- 860-231-1030
- Fax Number
- 860-231-1032
License Information
- License Number
- 011331
- License State
- CT
- Taxonomy
- Clinic/Center, Oral and Maxillofacial Surgery · 261QS0112X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Oral and Maxillofacial Surgery providers near West Hartford, CT
View all Clinic/Center, Oral and Maxillofacial Surgery providers in West Hartford →- Central Ctonnecticut Oral Maxillofacial& Implant Surgery, PCClinic/Center, Oral and Maxillofacial Surgery · NPI 1104183409
- Miss Irene Borysewicz, FNP, PMHNPNurse Practitioner, Psych/Mental Health · NPI 1013680990
- Sashauna Brown, PMHNP-BCNurse Practitioner, Psych/Mental Health · NPI 1043152556
- Mary A Grattan, LMFTMarriage & Family Therapist · NPI 1619877800
- Judith L Briggs, APRNNurse Practitioner, Family · NPI 1518016799
- Mr. Matthew R Fideler, LPCCounselor, Professional · NPI 1386544062
Frequently Asked Questions
What is the NPI number of Connecticut Center For Oral Facial And Implant Surgery PC?
The NPI number of Connecticut Center For Oral Facial And Implant Surgery PC is 1053782060. It was assigned on October 16, 2015 and is currently active in the NPPES registry.
What is the specialty of Connecticut Center For Oral Facial And Implant Surgery PC?
Connecticut Center For Oral Facial And Implant Surgery PC is registered under the primary taxonomy Clinic/Center, Oral and Maxillofacial Surgery (code 261QS0112X), licensed in CT under license number 011331.
Where does Connecticut Center For Oral Facial And Implant Surgery PC practice?
The practice location is 80 S Main St, West Hartford, CT 06107-2408. The office can be reached at 860-231-1030 (phone) or 860-231-1032 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053782060 directly on the NPPES registry website.