| Hartford County Oral Maxillofacial & Implant Surgery Pc | |
|
259 Farmington Ave Suite 1 Bristol CT 06010-3969 | |
| (860) 583-6549 | |
| (860) 582-1547 |
| Full Name | Hartford County Oral Maxillofacial & Implant Surgery Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 259 Farmington Ave, Bristol, Connecticut |
| Authorized Official Name and Position | Ean James (PRESIDENT) |
| Authorized Official Contact | 8563616703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hartford County Oral Maxillofacial & Implant Surgery Pc 259 Farmington Ave Suite 1 Bristol CT 06010-3969 Ph: (860) 583-6549 | Hartford County Oral Maxillofacial & Implant Surgery Pc 259 Farmington Ave Suite 1 Bristol CT 06010-3969 Ph: (860) 583-6549 |
| NPI Number | 1821339086 |
|---|---|
| Provider Enumeration Date | 03/12/2013 |
| Last Update Date | 03/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821339086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 10729 (Connecticut) | Primary |
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