| Soundview Oral & Maxillofacial Surgery | |
|
4 Shaws Cove Suite 203 New London CT 06320 | |
| (860) 443-3619 | |
| (860) 443-1401 |
| Full Name | Soundview Oral & Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4 Shaws Cove, New London, Connecticut |
| Authorized Official Name and Position | Ross J Sanfilippo (OWNER) |
| Authorized Official Contact | 8604433619 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soundview Oral & Maxillofacial Surgery 4 Shaws Cove Suite 203 New London CT 06320 Ph: (860) 443-3619 | Soundview Oral & Maxillofacial Surgery 4 Shaws Cove Suite 203 New London CT 06320 Ph: (860) 443-3619 |
| NPI Number | 1144407016 |
|---|---|
| Provider Enumeration Date | 01/23/2008 |
| Last Update Date | 09/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144407016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Connecticut) | Primary |
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