| Southington Oral & Maxillofacial Surgeons, Pc | |
|
256 N Main St Southington CT 06489-2524 | |
| (860) 276-0225 | |
| (860) 276-0368 |
| Full Name | Southington Oral & Maxillofacial Surgeons, Pc |
|---|---|
| Speciality | Dentist |
| Location | 256 N Main St, Southington, Connecticut |
| Authorized Official Name and Position | David M Sheintop (PRESIDENT) |
| Authorized Official Contact | 8602760225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southington Oral & Maxillofacial Surgeons, Pc 256 N Main St Southington CT 06489-2524 Ph: (860) 276-0225 | Southington Oral & Maxillofacial Surgeons, Pc 256 N Main St Southington CT 06489-2524 Ph: (860) 276-0225 |
| NPI Number | 1457731135 |
|---|---|
| Provider Enumeration Date | 06/08/2015 |
| Last Update Date | 06/08/2015 |
| Medicare PECOS PAC ID | 2365754124 |
|---|---|
| Medicare Enrollment ID | O20150708000051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457731135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 7302 (Connecticut) | Primary |
| Provider Name | David Martin Sheintop |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1568540789 PECOS PAC ID: 3173845625 Enrollment ID: I20150708000090 |
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