Oral and Maxillofacial Surgeons, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

D04158 Issued in CT

Legal business name

ORAL AND MAXILLOFACIAL SURGEONS, P.C.

Practice address

80 S Main St
Middletown, CT 06457-3648

Phone

(860) 347-6939

Fax

(860) 347-7933

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Harriet Louise Sperling

Title

Business Administrator

Phone

(860) 347-6939

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Khang B Nguyen, CSA

  • Surgical Assistant
  • Waltham, MA
  • NPI 1700643806
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1982811667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 S MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573648",
            "telephone_number": "860-347-6939",
            "fax_number": "860-347-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 S MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573648",
            "telephone_number": "860-347-6939",
            "fax_number": "860-347-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL AND MAXILLOFACIAL SURGEONS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "SPERLING",
        "authorized_official_first_name": "HARRIET",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "860-347-6939",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CT",
            "license": "D04158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanislaus Opalacz, MD
• Optimal Healthcare L.L.C.
• Oral and Maxillofacial Surgeons PC
• Oral and Maxillofacial Surgeons PC
• Oral and Maxillofacial Surgeons PC
• Shyan Celeste Organ, MD
• Orthodontic Specialists of Central Connecticut
• Orthopaedic & Neurosurgery Specialists, PLLC
• Orthopaedic & Neurosurgery Specialists, PLLC
• Orthopaedic & Neurosurgery Specialists, PLLC

• Specialist in Middletown, CT
• Providers in Middletown, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.