Connecticut Maxillofacial Surgeons, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

CONNECTICUT MAXILLOFACIAL SURGEONS, LLC

Practice address

291 Farmington Ave
Farmington, CT 06032-1925

Phone

(860) 678-7528

Fax

(860) 678-7933

NPI assigned

Jul 16, 2006

Last updated

Jul 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Schantal Mary Thielke, RDA

Title

Billing & Insurance Manager

Phone

(860) 678-7528

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicholas Paul Saggese, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Guilford, CT
  • NPI 1013369487
  Medicare reassignment Care Compare group NPD
• Ian C Tingey, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Farmington, CT
  • NPI 1427075381
  Medicare reassignment Care Compare group NPD
• Brett A Weyman, D.D.S., M.D.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Farmington, CT
  • NPI 1780607366

  Oral and Maxillofacial Surgery

  Medicare reassignment Care Compare group NPD
• Drew Michael Weyman, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Farmington, CT
  • NPI 1346705373
  Medicare reassignment Care Compare group NPD
• Barry R McGuire, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Farmington, CT
  • NPI 1578584348
  Medicare reassignment NPD
• Won Jong Lee, DDS MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Henderson, NV
  • NPI 1912429101

  CT

  Medicare reassignment NPD
• Maryanne Strindberg, APRN

  • Nurse Practitioner
  • Simsbury, CT
  • NPI 1912935404
  NPD (past)
• Jay Tillman, MD

  • Psychiatry Physician
  • Canton, CT
  • NPI 1497774384
  NPD (past)

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1285651133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321925",
            "telephone_number": "860-678-7528",
            "fax_number": "860-678-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321925",
            "telephone_number": "860-678-7528",
            "fax_number": "860-678-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT MAXILLOFACIAL SURGEONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "THIELKE",
        "authorized_official_first_name": "SCHANTAL",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "BILLING & INSURANCE MANAGER",
        "authorized_official_telephone_number": "860-678-7528",
        "authorized_official_credential": "RDA"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Farmington, CT
• Providers in Farmington, 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 Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.