| New: Glastonbury Oral And Implant Surgery Pllc | |
|
131 New London Turnpike Glastonbury CT 06033-7042 | |
| (860) 659-2623 | |
| Not Available |
| Full Name | New: Glastonbury Oral And Implant Surgery Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Pathology |
| Location | 131 New London Turnpike, Glastonbury, Connecticut |
| Authorized Official Name and Position | Ryaz Ansari (OWNER/OMS) |
| Authorized Official Contact | 8606490227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New: Glastonbury Oral And Implant Surgery Pllc 483 Middle Tpke W Ste 102 Manchester CT 06040-3864 Ph: (860) 649-2272 | New: Glastonbury Oral And Implant Surgery Pllc 131 New London Turnpike Glastonbury CT 06033-7042 Ph: (860) 659-2623 |
| NPI Number | 1407455538 |
|---|---|
| Provider Enumeration Date | 10/20/2020 |
| Last Update Date | 06/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407455538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | (* (Not Available)) | Primary |
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