Connecticut Oral Surgery And Implant Center, Pllc

LBN: Connecticut Oral Surgery And Implant Center, Pllc
Connecticut Oral Surgery And Implant Center, Pllc is an health care organization with primary practice located at 314 Flanders Rd Ste 1B , East Lyme CT 06333-1727. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Connecticut Oral Surgery And Implant Center, Pllc can be contacted via phone (860) 739-3133, or through Matton, Seth via phone (860) 578-0436.

Contact Information

Primary practice address
314 Flanders Rd Ste 1B East Lyme CT 06333-1727
Phone: (860) 739-3133
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Matton, Seth MD, DMD
Phone: (860) 578-0436

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1053951350
LBN Legal business name Connecticut Oral Surgery And Implant Center, Pllc
DBA Doing business as
Authorized official Matton, Seth MD, DMD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 14th, 2020
Last updated Jan 14th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053951350 NPPES
Connecticut MEDICAID 1609165521

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