| Oral Maxillofacial Surgery | |
|
263 Farmington Ave Farmington CT 06030-0001 | |
| (860) 679-3300 | |
| (860) 679-1702 |
| Full Name | Oral Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 263 Farmington Ave, Farmington, Connecticut |
| Authorized Official Name and Position | Ellie Atkins (CREDENTIALING CONTACT) |
| Authorized Official Contact | 8606792207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Maxillofacial Surgery 263 Farmington Ave Farmington CT 06030-3905 Ph: (860) 679-2207 | Oral Maxillofacial Surgery 263 Farmington Ave Farmington CT 06030-0001 Ph: (860) 679-3300 |
| NPI Number | 1881183721 |
|---|---|
| Provider Enumeration Date | 05/07/2018 |
| Last Update Date | 05/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881183721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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