| Connecticut Maxillofacial Surgeons, Llc | |
|
291 Farmington Ave Farmington CT 06032-1925 | |
| (860) 678-7528 | |
| (860) 678-7933 |
| Full Name | Connecticut Maxillofacial Surgeons, Llc |
|---|---|
| Speciality | Dentist |
| Location | 291 Farmington Ave, Farmington, Connecticut |
| Authorized Official Name and Position | Lila Sorbo (BILLING & INSURANCE COORDIANTOR) |
| Authorized Official Contact | 8606787528 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecticut Maxillofacial Surgeons, Llc 291 Farmington Ave Farmington CT 06032-1925 Ph: (860) 678-7528 | Connecticut Maxillofacial Surgeons, Llc 291 Farmington Ave Farmington CT 06032-1925 Ph: (860) 678-7528 |
| NPI Number | 1285651133 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2062317134 |
|---|---|
| Medicare Enrollment ID | O20031203000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285651133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Brett A Weyman |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1780607366 PECOS PAC ID: 9133024243 Enrollment ID: I20031203000136 |
| Provider Name | Ian C Tingey |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1427075381 PECOS PAC ID: 8729251079 Enrollment ID: I20111101000478 |
| Provider Name | Barry R Mcguire |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1578584348 PECOS PAC ID: 0244403590 Enrollment ID: I20111101000513 |
| Provider Name | Nicholas P Saggese |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1013369487 PECOS PAC ID: 5092193193 Enrollment ID: I20220601002694 |
| Provider Name | Won Jong Lee |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1912429101 PECOS PAC ID: 8325423205 Enrollment ID: I20220913001540 |
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