New: Berlin Oral and Implant Surgery PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

NEW: BERLIN ORAL AND IMPLANT SURGERY PLLC

Practice address

5 Webster Square
Berlin, CT 06037-2326

Phone

(860) 828-3559

NPI assigned

Jul 26, 2021

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

Locations

Practitioners 3

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

• Ryaz Ansari, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Manchester, CT
  • NPI 1497774152

  Oral and Maxillofacial Surgery

  NPD (past) Authorized official
• Gonzalo Romo de Miguel, DDS

  • General Practice Dentistry
  • Berlin, CT
  • NPI 1669761250
  NPD
• Dennis S Gianoli, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Berlin, CT
  • NPI 1003919234

  Oral and Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1710650841",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WEBSTER SQUARE",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060372326",
            "telephone_number": "860-828-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW: BERLIN ORAL AND IMPLANT SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-26",
        "last_updated": "2025-06-16",
        "certification_date": "2021-07-26",
        "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": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Berlin, CT
• 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 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.