CENTRAL CTONNECTICUT ORAL MAXILLOFACIAL& IMPLANT SURGERY, PC – NPI #1104183409
Clinic/Center
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.
CENTRAL CTONNECTICUT ORAL MAXILLOFACIAL& IMPLANT SURGERY, PC is an AHC clinic located in WEST HARTFORD, CT. NPPES has assigned the NPI number 1104183409 to CENTRAL CTONNECTICUT ORAL MAXILLOFACIAL& IMPLANT SURGERY, PC on April 12, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QS0112X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Oral and Maxillofacial Surgery
The NPI profile was previously updated about 12 years ago on Feb 18, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTRAL CTONNECTICUT ORAL MAXILLOFACIAL& IMPLANT SURGERY, PC below.
NPI Profile for
CENTRAL CTONNECTICUT ORAL MAXILLOFACIAL& IMPLANT SURGERY, PC
(more than 14 years ago)
SUITE 223
WEST HARTFORD, CT 06119-1505 Phone: (860) 586-8507 Fax: (860) 586-8697
ORAL SURGEON
Phone: (860) 586-8507
Identifiers for CENTRAL CTONNECTICUT ORAL MAXILLOFACIAL& IMPLANT SURGERY, PC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | CT | 008001740 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QS0112X - Clinic/Center / Oral and Maxillofacial Surgery (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.