| Coventry Oral And Implant Surgery Pllc | |
|
1572 Boston Tpke Coventry CT 06238-1205 | |
| (860) 649-2272 | |
| Not Available |
| Full Name | Coventry Oral And Implant Surgery Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1572 Boston Tpke, Coventry, Connecticut |
| Authorized Official Name and Position | Ryaz Ansari (OWNER) |
| Authorized Official Contact | 8606492272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coventry Oral And Implant Surgery Pllc 483 Middle Tpke W Ste 102 Manchester CT 06040-3864 Ph: (860) 649-2272 | Coventry Oral And Implant Surgery Pllc 1572 Boston Tpke Coventry CT 06238-1205 Ph: (860) 649-2272 |
| NPI Number | 1811686322 |
|---|---|
| Provider Enumeration Date | 05/02/2023 |
| Last Update Date | 05/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811686322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |