Philip J Conforti, DDS
Individual provider Active NPI Oral and Maxillofacial Surgery (Dentist) · Hamden, CT
NPI 1053305201 · NPPES record last updated Mar 17, 2014
Key facts
- NPI
- 1053305201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License
- 6826 (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
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190328002715 | CT | Order and Referring Only - Oral Surgery |
5294832911 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 6826 | CT | Yes |
Addresses
Primary practice location
2560 Dixwell Ave Ste 2a
Hamden, CT 06514-1852
Mailing address
87 State St
Guilford, CT 06437-2723
Phone (203) 453-4381
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- Gina M Confredo
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All providers in Hamden, CT · Oral and Maxillofacial Surgery (Dentist) in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.