Oral & Maxillofacial Surgery Associates of Greater New Haven, P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

005198 Issued in CT

Legal business name

ORAL & MAXILLOFACIAL SURGERY ASSOCIATES OF GREATER NEW HAVEN, P.C.

Practice address

136 Sherman Ave
Suite #402
New Haven, CT 06511-5238

Phone

(203) 865-0807

Fax

(203) 562-4922

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Leonard Warren Skope, DDS

Title

President

Phone

(203) 865-0807

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235257148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 SHERMAN AVE",
            "address_2": "SUITE #402",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115238",
            "telephone_number": "203-865-0807",
            "fax_number": "203-562-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 SHERMAN AVE",
            "address_2": "SUITE #402",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115238",
            "telephone_number": "203-865-0807",
            "fax_number": "203-562-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL & MAXILLOFACIAL SURGERY ASSOCIATES OF GREATER NEW HAVEN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SKOPE",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-865-0807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "005198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britany Serwaa Opoku
• Stephen Kwasi Opoku, NURSE PRACTITIONER
• Adriana Dana Oprea, M.D.
• Opticare Eye Health Centers, Inc.
• Optum Behavioral Care of Connecticut, P.C.
• Oral and Maxillofacial Surgical Associates, PC
• Orange Whip, Inc
• Felipe Augusto Ordonez-Caro, DDS
• Zachary Thomas Orellana, PHARMD
• Amit G. Oren, PH.D

• Oral and Maxillofacial Surgery (Dentist) in New Haven, CT
• Providers in New Haven, 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 Aug 22, 2020; 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.