West Hartford Maxillofacial Surgery, PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

008367 Issued in CT

Legal business name

WEST HARTFORD MAXILLOFACIAL SURGERY, PC

Practice address

928 Farmington Ave
West Hartford, CT 06107-2227

Phone

(860) 232-4606

Fax

(860) 233-8352

NPI assigned

Jun 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Yolanda P Frontera, DDS, MDSNPI 1861552317

Title

President

Phone

(860) 232-4606

Specialties & licenses 1

Addresses

Practitioners 1

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

• Yolanda P Frontera, DDS, MDS

  • Oral and Maxillofacial Surgery (Dentist)
  • West Hartford, CT
  • NPI 1861552317
  NPD (past) Authorized official

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1407051238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 FARMINGTON AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072227",
            "telephone_number": "860-232-4606",
            "fax_number": "860-233-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 FARMINGTON AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072227",
            "telephone_number": "860-232-4606",
            "fax_number": "860-233-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST HARTFORD MAXILLOFACIAL SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "FRONTERA",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-232-4606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "008367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Hartford Family Dental PLLC
• West Hartford Family Dentistry
• West Hartford Health & Rehabilitation Center
• West Hartford Internal Medicine, LLC
• West Hartford Massage Clinic, LLC
• West Hartford Medical Center
• West Hartford One Opco LLC
• West Hartford Pediatrics, LLC
• West Hartford Podiatry Associates PC
• West Hartford Primary Care, LLC

• Oral and Maxillofacial Surgery (Dentist) in West Hartford, CT
• Providers in West Hartford, 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 23, 2007; 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.