Active NPIOrganization

New: Glastonbury Oral And Implant Surgery PLLC

Dentist, Oral and Maxillofacial Pathology in Glastonbury, Connecticut

NPI Number1407455538
Practice location
131 New London Turnpike, Glastonbury, CT 06033-7042
Fax
—
Last updated
June 16, 2025

New: Glastonbury Oral And Implant Surgery PLLC is a healthcare organization based in Glastonbury, CT. New: Glastonbury Oral And Implant Surgery PLLC practices in Glastonbury, CT. The NPI Number for New: Glastonbury Oral And Implant Surgery PLLC is 1407455538. The current practice location address for New: Glastonbury Oral And Implant Surgery PLLC is 131 New London Turnpike, Glastonbury, CT 06033-7042 and can be reached out via phone at 860-659-2623.

Provider Profile Details

NPI Number
1407455538
Provider Name
New: Glastonbury Oral And Implant Surgery PLLC
Provider Entity Type
Organization
Address
131 New London Turnpike, Glastonbury, CT 06033-7042
Phone Number
860-659-2623
Primary Taxonomy
Dentist, Oral and Maxillofacial Pathology · 1223P0106X
Organization Subpart
No
Authorized Official
Dr. Ryaz Ansari, DDS · Owner/Oms · 860-649-0227
Other Names
Glastonbury Implant Dentistry, Oral And Facial Surgery (Former Legal Business Name)
Provider Enumeration Date
October 20, 2020
Last Update Date
June 16, 2025
Certification Date
October 20, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
131 New London Turnpike
Glastonbury, CT 06033-7042
Zip
06033-7042
Phone Number
860-659-2623
Glastonbury, CT 06033Get directions →

Provider Business Mailing Address Details

Address
483 Middle Tpke W Ste 102
Manchester, CT 06040-3864
City
Manchester
State
CT
Zip
06040-3864
Phone Number
860-649-2272
Fax Number
860-533-1010

License Information

Taxonomy
Dentist, Oral and Maxillofacial Pathology · 1223P0106X · 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 New: Glastonbury Oral And Implant Surgery PLLC?

The NPI number of New: Glastonbury Oral And Implant Surgery PLLC is 1407455538. It was assigned on October 20, 2020 and is currently active in the NPPES registry.

What is the specialty of New: Glastonbury Oral And Implant Surgery PLLC?

New: Glastonbury Oral And Implant Surgery PLLC is registered under the primary taxonomy Dentist, Oral and Maxillofacial Pathology (code 1223P0106X).

Where does New: Glastonbury Oral And Implant Surgery PLLC practice?

The practice location is 131 New London Turnpike, Glastonbury, CT 06033-7042. The office can be reached at 860-659-2623 (phone).

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 1407455538 directly on the NPPES registry website.

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