Connecticut Oral Surgery And Implant Center, Pllc | |
314 Flanders Rd Ste 1b East Lyme CT 06333-1727 | |
(860) 739-3133 | |
Not Available |
Full Name | Connecticut Oral Surgery And Implant Center, Pllc |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 314 Flanders Rd Ste 1b, East Lyme, Connecticut |
Authorized Official Name and Position | Seth Matton (SURGEON/ OWNER) |
Authorized Official Contact | 8605780436 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Connecticut Oral Surgery And Implant Center, Pllc 66 Wildcat Springs Dr Madison CT 06443-2484 Ph: () - | Connecticut Oral Surgery And Implant Center, Pllc 314 Flanders Rd Ste 1b East Lyme CT 06333-1727 Ph: (860) 739-3133 |
NPI Number | 1053951350 |
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Provider Enumeration Date | 01/14/2020 |
Last Update Date | 01/14/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053951350 | NPI | - | NPPES |
1609165521 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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