CENTRAL CTONNECTICUT ORAL MAXILLOFACIAL& IMPLANT SURGERY, PC (NPI# 1104183409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104183409 |
| Entity Type | Organization |
| Organization Name | CENTRAL CTONNECTICUT ORAL MAXILLOFACIAL& IMPLANT SURGERY, PC |
| Practice Address |
836 Farmington Ave Suite 223 West Hartford CT 06119-1505 |
| Practice Telephone | 8605868507 |
| Practice Fax Number | 8605868697 |
| Mailing Telephone | 8605868507 |
| Mailing Fax Number | 8605868697 |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2014-02-18 |
| Authorized Official Name | DR. JOSEPH R HOWARD (ORAL SURGEON) |
| Authorized Official Telephone | 8605868507 |
| Authorized Official Credential | D.D.S., M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008001740 | 05 |
| Street Address |
836 FARMINGTON AVE SUITE 223 |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06119-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063413615 | Donald James Salzberg | Ophthalmology | 836 Farmington Ave, Suite 121, West Hartford, CT 06119-1505 | 2005-08-04 |
| 1457895419 | Soul Therapy, LLC | Counselor | 836 Farmington Ave, Suite 221, West Hartford, CT 06119-1505 | 2016-12-10 |
| 1114319563 | Precision Toxicology, LLC | Clinical Medical Laboratory | 836 Farmington Ave, Suite 212, West Hartford, CT 06119-1505 | 2015-02-23 |
| 1447597315 | New England Food Allergy Treatment Center | Allergy & Immunology | 836 Farmington Ave, Suite 138, West Hartford, CT 06119-1505 | 2013-01-11 |
| 1255603353 | Andrea Loftus LLC | Social Worker | 836 Farmington Ave, Suite 217b, West Hartford, CT 06119-1505 | 2012-02-04 |
| 1619246691 | Erica M Cuni | Marriage & Family Therapist | 836 Farmington Ave, Suite 217b, West Hartford, CT 06119-1505 | 2011-12-21 |
| 1780960385 | Dependable Optical, LLC | Technician/Technologist | 836 Farmington Ave, Suite 121, West Hartford, CT 06119-1505 | 2011-10-26 |
| 1326324922 | Pavel Krubitski | Technician/Technologist | 836 Farmington Ave, Suite 121, West Hartford, CT 06119-1505 | 2011-10-26 |
| 1477863710 | Ashley Bolella | Social Worker | 836 Farmington Ave, Suite 221, West Hartford, CT 06119 | 2010-10-20 |
| 1174839005 | Dorothy Uhrlass | Psychologist | 836 Farmington Ave, Ste 221c, West Hartford, CT 06119-1505 | 2010-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063957389 | Hannah Aliberti | Behavioral Analyst | 792 Farmington Ave, West Hartford, CT 06119 | 2016-12-21 |
| 1255752945 | Ctuc01 | Clinic/Center | 1030 Boulevard, West Hartford, CT 06119 | 2013-12-23 |
| 1962757088 | Arman Samad-zadeh | Dentist | 836 Farmington Ave Ste 115, West Hartford, CT 06119 | 2012-07-15 |
| 1356606123 | East West Obgyn | Obstetrics & Gynecology | 836 Farmington Ave. S. 211, West Hartford, CT 06119 | 2012-07-09 |
| 1285901314 | Onyeijen Mgbejume | Pharmacist | 674 Famington Avenue, West Hartford, CT 06119 | 2011-11-17 |
| 1134403553 | Cornelia F Sharrow | Social Worker | 17 South Highland St, West Hartford, CT 06119 | 2011-10-04 |
| 1952613218 | Lauren B Kopyt | Pediatrics | 785 Farmington Avenue, West Hartford, CT 06119 | 2010-07-02 |
| 1043542657 | Leticia Jacquet | Physical Therapist | 1022 Boulevard, #274, West Hartford, CT 06119 | 2010-02-06 |
| 1003051467 | Emily Bevelaqua Pellegrino | Music Therapist | 72 Maplewood Ave, West Hartford, CT 06119 | 2008-12-12 |
| 1124233473 | Theresa M Johnson | Counselor | 361 Park Rd, 3rd Fl, West Hurtford, CT 06119 | 2007-05-11 |
| Find all providers in zip 06119 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720520976 | Stamford Oral and Maxillofacial Surgical Arts LLC | Clinic/Center | 27 Bridge St, Stamford, CT 06905-4501 | 2016-11-04 |
| 1053782060 | Connecticut Center for Oral Facial and Implant Surgery PC | Clinic/Center | 54 Retreat Ave, Hartford, CT 06106-2526 | 2015-10-16 |
| 1992129977 | Lee W. Mcneish Dmd, PC | Clinic/Center | 650 Chase Pkwy, Waterbury, CT 06708-3046 | 2014-02-11 |
| 1194053942 | Center for Oral and Implant Surgery of Greenwich, LLC | Clinic/Center | 49 Lake Ave, Greenwich, CT 06830-4501 | 2009-12-04 |
| City | WEST HARTFORD |
| Zip Code | 06119 |
Please comment or provide details below to improve the information on CENTRAL CTONNECTICUT ORAL MAXILLOFACIAL& IMPLANT SURGERY, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.