Central Ctonnecticut Oral Maxillofacial& Implant Surgery, PC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

CENTRAL CTONNECTICUT ORAL MAXILLOFACIAL& IMPLANT SURGERY, PC

Practice address

836 Farmington Ave
Suite 223
West Hartford, CT 06119-1505

Phone

(860) 586-8507

Fax

(860) 586-8697

NPI assigned

Apr 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Joseph R Howard, D.D.S., M.D.NPI 1114195344

Title

Oral Surgeon

Phone

(860) 586-8507

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Robert Howard, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • West Hartford, CT
  • NPI 1114195344
  NPD (past) Authorized official
• Visha Patel, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • West Hartford, CT
  • NPI 1578205597
  NPD (past)

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1104183409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 FARMINGTON AVE",
            "address_2": "SUITE 223",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191505",
            "telephone_number": "860-586-8507",
            "fax_number": "860-586-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 FARMINGTON AVE",
            "address_2": "SUITE 223",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191505",
            "telephone_number": "860-586-8507",
            "fax_number": "860-586-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CTONNECTICUT ORAL MAXILLOFACIAL& IMPLANT SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "860-586-8507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008001740",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Cavanaugh, MS, LPC
• Michelle L Cavo, PA
• Joseph Santo Cellini
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• Central Conn Endodontics, PC
• Central Eye Care, LLC
• Central Pediatrics and Adolescent Medicine, LLC
• Catherine M Certo, PT
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• Venumadhav Chaluvadi

• Oral and Maxillofacial Surgery Clinic/Center in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.