GM Surgical Associates LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

GM SURGICAL ASSOCIATES LLC

Practice address

130 New London Tpke Ste 3
Norwich, CT 06360-2624

Phone

(860) 886-0651

NPI assigned

Jun 28, 2017

Last updated

Jun 28, 2017By 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. Bryan Thomas Meriam, DDSNPI 1285869107

Title

Member

Phone

(917) 282-0647

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 3

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.

• Bryan Meriam, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Guilford, CT
  • NPI 1285869107
  NPD Authorized official
• Donald A Amaro, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • Norwich, CT
  • NPI 1164416699
  NPD (past)
• Steven L Berke, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Norwich, CT
  • NPI 1275527772
  NPD (past)

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498608000000",
    "number": "1912428160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MEADOWBROOK RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432557",
            "telephone_number": "203-787-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 NEW LONDON TPKE STE 3",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602624",
            "telephone_number": "860-886-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GM SURGICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2017-06-28",
        "status": "A",
        "authorized_official_last_name": "MERIAM",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-282-0647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285869107",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629218961",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christa Girard, RBT
• Crystal A Girard, LMT
• Melinda Gladden, LCSW
• Christina Elizabeth Gleason, PA-C
• Natalie Glybin
• Nicole Godbout, MSW
• Olivia Paige Goitia, PA-C
• Nicole Patricia Golden, APRN, PMHNP-BC
• Adam Drew Goldstein, M.D.
• Alexis Marie Golias

• Oral and Maxillofacial Surgery (Dentist) in Norwich, CT
• Providers in Norwich, 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 28, 2017; 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.