| Norwich Oral & Maxillofacial Surgeons, Pc | |
|
130 New London Tpke Norwich CT 06360-2624 | |
| (860) 886-0651 | |
| (860) 823-1577 |
| Full Name | Norwich Oral & Maxillofacial Surgeons, Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 130 New London Tpke, Norwich, Connecticut |
| Authorized Official Name and Position | Teresa Keeney (OFFICE MANAGER) |
| Authorized Official Contact | 8608860651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Norwich Oral & Maxillofacial Surgeons, Pc 130 New London Tpke Norwich CT 06360-2624 Ph: (860) 886-0651 | Norwich Oral & Maxillofacial Surgeons, Pc 130 New London Tpke Norwich CT 06360-2624 Ph: (860) 886-0651 |
| NPI Number | 1215123807 |
|---|---|
| Provider Enumeration Date | 09/18/2007 |
| Last Update Date | 11/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215123807 | NPI | - | NPPES |
| 004083333 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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