Active NPIOrganization

East Lyme Oral And Maxillofacial Surgery

Dentist, Oral and Maxillofacial Surgery in East Lyme, Connecticut

NPI Number1205906369
Practice location
314 Flanders RD, Suite 1B, East Lyme, CT 06333-1727
Fax
860-739-3131
Last updated
August 25, 2007

East Lyme Oral And Maxillofacial Surgery is a healthcare organization based in East Lyme, CT. East Lyme Oral And Maxillofacial Surgery practices in East Lyme, CT. The NPI Number for East Lyme Oral And Maxillofacial Surgery is 1205906369 and holds a License No. 007384 (CT). The current practice location address for East Lyme Oral And Maxillofacial Surgery is 314 Flanders RD, Suite 1B, East Lyme, CT 06333-1727 and can be reached out via phone at 860-739-3133 and via fax at 860-739-3131.

Provider Profile Details

NPI Number
1205906369
Provider Name
East Lyme Oral And Maxillofacial Surgery
Provider Entity Type
Organization
Address
314 Flanders RD, Suite 1B, East Lyme, CT 06333-1727
Phone Number
860-739-3133
Fax Number
860-739-3131
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Organization Subpart
No
Authorized Official
Dr. Kirk Fred Engel, DMD · Member And Owner · 860-739-3133
Provider Enumeration Date
November 8, 2006
Last Update Date
August 25, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
314 Flanders RD
Suite 1B
East Lyme, CT 06333-1727
Zip
06333-1727
Phone Number
860-739-3133
Fax Number
860-739-3131
East Lyme, CT 06333Get directions →

Provider Business Mailing Address Details

Address
314 Flanders RD
Suite 1B
East Lyme, CT 06333-1727
City
East Lyme
State
CT
Zip
06333-1727
Phone Number
860-739-3133
Fax Number
860-739-3131

License Information

License Number
007384
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 East Lyme Oral And Maxillofacial Surgery?

The NPI number of East Lyme Oral And Maxillofacial Surgery is 1205906369. It was assigned on November 8, 2006 and is currently active in the NPPES registry.

What is the specialty of East Lyme Oral And Maxillofacial Surgery?

East Lyme Oral And Maxillofacial Surgery is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in CT under license number 007384.

Where does East Lyme Oral And Maxillofacial Surgery practice?

The practice location is 314 Flanders RD, Suite 1B, East Lyme, CT 06333-1727. The office can be reached at 860-739-3133 (phone) or 860-739-3131 (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 1205906369 directly on the NPPES registry website.

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