Southington Oral & Maxillofacial Surgeons, PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

7302 Issued in CT

Legal business name

SOUTHINGTON ORAL & MAXILLOFACIAL SURGEONS, PC

Practice address

256 N Main St
Southington, CT 06489-2524

Phone

(860) 276-0225

Fax

(860) 276-0368

NPI assigned

Jun 8, 2015

Organization subpart

No

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

Authorized official

Name

Dr. David M Sheintop, D.M.D.

Title

President

Phone

(860) 276-0225

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1457731135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 N MAIN ST",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892524",
            "telephone_number": "860-276-0225",
            "fax_number": "860-276-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 N MAIN ST",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892524",
            "telephone_number": "860-276-0225",
            "fax_number": "860-276-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHINGTON ORAL & MAXILLOFACIAL SURGEONS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "SHEINTOP",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-276-0225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "7302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Southington, CT
• Providers in Southington, 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 Jun 8, 2015; 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.