Active NPIOrganization

Oral And Maxillofacial Surgical Associates, PC

Dentist, Oral and Maxillofacial Surgery in New Haven, Connecticut

NPI Number1063700037
Practice location
1423 Chapel St, Third Floor, New Haven, CT 06511-4411
Fax
203-782-6389
Last updated
July 12, 2011

Oral And Maxillofacial Surgical Associates, PC is a healthcare organization based in New Haven, CT. Oral And Maxillofacial Surgical Associates, PC practices in New Haven, CT. The NPI Number for Oral And Maxillofacial Surgical Associates, PC is 1063700037 and holds a License No. 5139 (CT). The current practice location address for Oral And Maxillofacial Surgical Associates, PC is 1423 Chapel St, Third Floor, New Haven, CT 06511-4411 and can be reached out via phone at 203-787-6581 and via fax at 203-782-6389.

Provider Profile Details

NPI Number
1063700037
Provider Name
Oral And Maxillofacial Surgical Associates, PC
Provider Entity Type
Organization
Address
1423 Chapel St, Third Floor, New Haven, CT 06511-4411
Phone Number
203-787-6581
Fax Number
203-782-6389
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Organization Subpart
No
Authorized Official
Dr. Robert Russell Sorrentino, DMD · President · 203-787-6581
Provider Enumeration Date
July 12, 2011
Last Update Date
July 12, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
1423 Chapel St
Third Floor
New Haven, CT 06511-4411
Zip
06511-4411
Phone Number
203-787-6581
Fax Number
203-782-6389
New Haven, CT 06511Get directions →

Provider Business Mailing Address Details

Address
1423 Chapel St
Third Floor
New Haven, CT 06511-4411
City
New Haven
State
CT
Zip
06511-4411
Phone Number
203-787-6581
Fax Number
203-782-6389

License Information

License Number
5139
License State
CT
Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Oral And Maxillofacial Surgical Associates, PC?

The NPI number of Oral And Maxillofacial Surgical Associates, PC is 1063700037. It was assigned on July 12, 2011 and is currently active in the NPPES registry.

What is the specialty of Oral And Maxillofacial Surgical Associates, PC?

Oral And Maxillofacial Surgical Associates, PC is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in CT under license number 5139.

Where does Oral And Maxillofacial Surgical Associates, PC practice?

The practice location is 1423 Chapel St, Third Floor, New Haven, CT 06511-4411. The office can be reached at 203-787-6581 (phone) or 203-782-6389 (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 1063700037 directly on the NPPES registry website.

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