Connecticut Oral & Maxillofacial Surgery Centers, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

CONNECTICUT ORAL & MAXILLOFACIAL SURGERY CENTERS, LLC

Practice address

10 Higgins Hwy Ste 10
Mansfield Center, CT 06250-1486

Phone

(860) 423-2587

NPI assigned

Sep 14, 2026

Last updated

Sep 14, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

CONNECTICUT ORAL & MAXILLOFACIAL SURGERY CENTERS, LLCAs reported in NPPES

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

Authorized official

Name

Michaela Muniz

Title

VP, Payor Relations

Phone

(469) 324-3242

Specialties & licenses 2

Addresses

Tax ID family

Connecticut Oral Maxillofacial Surgery Centers LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Connecticut Oral & Maxillofacial Surgery Centers, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Meriden, CT
  • NPI 1083818710
  NPD tax ID
• Connecticut Oral & Maxillofacial Surgery Centers, LLC

  dba Connecticut Oral & maxillofacial Surgery Centers - North Haven

  • Oral and Maxillofacial Surgery (Dentist)
  • North Haven, CT
  • NPI 1457262149
  NPD tax ID
• Connecticut Oral & Maxillofacial Surgery Centers, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Meriden, CT
  • NPI 1770406035
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Connecticut Oral & Maxillofacial Surgery Centers, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Meriden, CT
  • NPI 1083818710
  NPPES parent name

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1558272237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HIGGINS HWY STE 10",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501486",
            "telephone_number": "860-423-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HIGGINS HWY STE 10",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501486",
            "telephone_number": "860-423-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT ORAL & MAXILLOFACIAL SURGERY CENTERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONNECTICUT ORAL & MAXILLOFACIAL SURGERY CENTERS, LLC",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_title_or_position": "VP, PAYOR RELATIONS",
        "authorized_official_telephone_number": "469-324-3242"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Mary Cizeski
• Cheryl Cohen, PMHNP-BC, L.M.F.T
• Lindsay Collins, CNM
• Connecticut Dental Professionals, P.C. (Reservoir Commons Dental Associates)
• Connecticut Dental Professionals, P.C. (Reservoir Commons Dental Associates)
• Jennifer Cox, AU.D., CCC-A
• Kelly Coya
• Georgine Schaefer Craig, RN
• Cranmer Eye Center, P.C.
• Creative Change Counseling LLC

• Oral and Maxillofacial Surgery (Dentist) in Mansfield Center, CT
• Providers in Mansfield Center, 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 Sep 14, 2026; 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.