| Oral & Maxillofacial Surgery Associates Of Greater New Haven, P.c. | |
|
136 Sherman Ave Suite #402 New Haven CT 06511-5238 | |
| (203) 865-0807 | |
| (203) 562-4922 |
| Full Name | Oral & Maxillofacial Surgery Associates Of Greater New Haven, P.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 136 Sherman Ave, New Haven, Connecticut |
| Authorized Official Name and Position | Leonard Warren Skope (PRESIDENT) |
| Authorized Official Contact | 2038650807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral & Maxillofacial Surgery Associates Of Greater New Haven, P.c. 136 Sherman Ave Suite #402 New Haven CT 06511-5238 Ph: (203) 865-0807 | Oral & Maxillofacial Surgery Associates Of Greater New Haven, P.c. 136 Sherman Ave Suite #402 New Haven CT 06511-5238 Ph: (203) 865-0807 |
| NPI Number | 1235257148 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235257148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 005198 (Connecticut) | Primary |
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