Philip J Conforti, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

6826 Issued in CT

Practice address

2560 Dixwell Ave Ste 2a
Hamden, CT 06514-1852

Phone

(203) 281-3737

Fax

(203) 230-2931

NPI assigned

Sep 2, 2005

Last updated

Mar 17, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1053305201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 STATE ST",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372723",
            "telephone_number": "203-453-4381",
            "fax_number": "203-458-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 DIXWELL AVE STE 2A",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065141852",
            "telephone_number": "203-281-3737",
            "fax_number": "203-230-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONFORTI",
        "first_name": "PHILIP",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "6826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Colon, RN
• Leila Colson, APRN
• Emily R Comer, OTR/L
• Community Partners in Action
• Community Social Integration, LLC
• Gina M Confredo
• Diana Congdon, APRN
• Connecticut CVS Pharmacy LLC (cvs pharmacy # 11081)
• Connecticut CVS Pharmacy, L.L.C. (CVS Pharmacy #00775)
• Connecticut Medical Group, LLC

• Oral and Maxillofacial Surgery (Dentist) in Hamden, CT
• Providers in Hamden, CT by specialty
• Oral and Maxillofacial Surgery (Dentist) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.