New: Glastonbury Oral and Implant Surgery PLLC

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

Legal business name

NEW: GLASTONBURY ORAL AND IMPLANT SURGERY PLLC

Practice address

131 New London Turnpike
Glastonbury, CT 06033-7042

Phone

(860) 659-2623

NPI assigned

Oct 20, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Ryaz Ansari, D.D.S.NPI 1497774152

Title

Owner/Oms

Phone

(860) 649-0227

Specialties & licenses 1

Addresses

Other names 1

• Glastonbury Implant Dentistry, Oral and Facial Surgery Former legal business name

Practitioners 1

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.

• Ryaz Ansari, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Manchester, CT
  • NPI 1497774152
  Authorized official Same address or phone

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1407455538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 MIDDLE TPKE W STE 102",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060403864",
            "telephone_number": "860-649-2272",
            "fax_number": "860-533-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 NEW LONDON TURNPIKE",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060337042",
            "telephone_number": "860-659-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW: GLASTONBURY ORAL AND IMPLANT SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2025-06-16",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "ANSARI",
        "authorized_official_first_name": "RYAZ",
        "authorized_official_title_or_position": "OWNER/OMS",
        "authorized_official_telephone_number": "860-649-0227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glastonbury Implant Dentistry, Oral and Facial Surgery",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Providers in Glastonbury, CT by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.