Hartford County Oral Maxillofacial & Implant Surgery PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

10729 Issued in CT

Legal business name

HARTFORD COUNTY ORAL MAXILLOFACIAL & IMPLANT SURGERY PC

Practice address

259 Farmington Ave
Suite 1
Bristol, CT 06010-3969

Phone

(860) 583-6549

Fax

(860) 582-1547

NPI assigned

Mar 12, 2013

Last updated

Mar 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ean James, D.M.D., M.D

Title

President

Phone

(856) 361-6703

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1821339086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 FARMINGTON AVE",
            "address_2": "SUITE 1",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060103969",
            "telephone_number": "860-583-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 FARMINGTON AVE",
            "address_2": "SUITE 1",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060103969",
            "telephone_number": "860-583-6549",
            "fax_number": "860-582-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTFORD COUNTY ORAL MAXILLOFACIAL & IMPLANT SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-12",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "EAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-361-6703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.D"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "10729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kai Hans Hammerich, M.D.
• Jihun Han, D.D.S.
• Han H Hang, PHARM.D
• Francine Harris
• Hannah Harris, LPCA
• Leah Jesse Hartl
• Paul Harvill, MD
• Leslie M. Hauge, LPC
• Jamie Silas Havens
• Healing Space

• Oral and Maxillofacial Surgery (Dentist) in Bristol, CT
• Providers in Bristol, 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 Mar 12, 2013; 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.