NPIMap

Organization Active NPI

Oral & Maxillofacial Surgeons of Central CT PC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Meriden, CT
National Provider Identifier
1972798338
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
3716 Issued in CT
Legal business name
ORAL & MAXILLOFACIAL SURGEONS OF CENTRAL CT PC
Practice address
546 South Broad St
Suite 4F
Meriden, CT 06450
Phone
(203) 235-6339
Fax
(203) 235-6339
NPI assigned
Sep 10, 2007
Organization subpart
Yes
Parent organization
ORAL & MAXILLOFACIAL SURGEONS OF CENTRAL CT PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Dr. Stephen Slater Rozen, DDSNPI 1013947936
Title
DDS President
Phone
(203) 235-6339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 204E00000X 3716 CT Primary

Addresses

Primary practice location

546 South Broad St
Suite 4F
Meriden, CT 06450

Mailing address

546 South Broad St
Suite 4F
Meriden, CT 06450
Phone (203) 235-6339

National Provider Directory

National Provider Directory
Part of
Stephen Rozen DDS

Locations

546 S Broad St
Ste 4F
Meriden, CT 06450
Phone (203) 235-6339

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1972798338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 SOUTH BROAD ST",
            "address_2": "SUITE 4F",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "06450",
            "telephone_number": "203-235-6339",
            "fax_number": "203-235-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 SOUTH BROAD ST",
            "address_2": "SUITE 4F",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "06450",
            "telephone_number": "203-235-6339",
            "fax_number": "203-235-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL & MAXILLOFACIAL SURGEONS OF CENTRAL CT PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORAL & MAXILLOFACIAL SURGEONS OF CENTRAL CT PC",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "ROZEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "SLATER",
        "authorized_official_title_or_position": "DDS PRESIDENT",
        "authorized_official_telephone_number": "203-235-6339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CT",
            "license": "3716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.